Organization
AVRAHAM Y HENOCH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVRAHAM Y. HENOCH M.D. (OWNER)
(212) 740-6400
Entity
Organization
Contact information
Practice address
564 W 160TH ST, NEW YORK, NY 10032-6702
(212) 740-6400
(212) 740-4105
Mailing address
2685 GRAND CONCOURSE, BRONX, NY 10468-3746
(718) 563-0500
(718) 563-3706
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
168125
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01009012
—
NY
05
—
03184603
—
NY
Enumeration date
08/07/2008
Last updated
11/30/2010
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