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Organization
HENRY HEALTH SERVICES NURSE PRACTITIONER IN ADULT HEALTH, PLLC
Active
Organization
HENRY HEALTH SERVICES NURSE PRACTITIONER IN ADULT HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY HENRY NP (OWNER)
(347) 477-7574
Entity
Organization
Contact information
Practice address
1250 OCEAN PKWY, BROOKLYN, NY 11230-5155
(347) 477-7574
Mailing address
PO BOX 297215, BROOKLYN, NY 11229-7215
(347) 477-7574
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05851565
—
NY
01
—
1083256788
NPI
—
01
—
14604628
CAQH PROVIDER ID
—
01
—
309454
NP LICENSE NUMBER
NY
Enumeration date
08/05/2025
Last updated
08/05/2025
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