# HENRY HEALTH SERVICES NURSE PRACTITIONER IN ADULT HEALTH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285518811
- **Authorized official:** ASHLEY HENRY NP (OWNER)
- **Authorized official phone:** (347) 477-7574

## Contact information

- **Practice address:** 1250 OCEAN PKWY, BROOKLYN, NY 11230-5155
- **Practice address phone:** (347) 477-7574
- **Mailing address:** PO BOX 297215, BROOKLYN, NY 11229-7215
- **Mailing address phone:** (347) 477-7574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2025
- **Last updated:** 08/05/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 05851565 | — | NY |
| 01 | — | 1083256788 | NPI | — |
| 01 | — | 14604628 | CAQH PROVIDER ID | — |
| 01 | — | 309454 | NP LICENSE NUMBER | NY |