Individual
DR. DEBORAH A HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 ALLEN STREET, MEDICAL STAFF SERVICES, RUTLAND, VT 05701
(802) 747-3639
(802) 747-6207
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-2937
(802) 773-2204
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
042-0011335
VT
207X00000X
Orthopaedic Surgery Physician
1973931
NY
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
197393-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01888504
—
NY
Enumeration date
11/28/2005
Last updated
02/26/2021
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