Individual
CLARIDGE HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 THOMPSON ST, VALLEY STREAM, NY 11580-2037
(347) 968-8015
Mailing address
20 THOMPSON ST, VALLEY STREAM, NY 11580-2037
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
357035
NY
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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