Organization
WILLIAM J HENNESSEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J HENNESSEY M.D. (OWNER)
(518) 272-9140
Entity
Organization
Contact information
Practice address
31 LOWER HUDSON AVE, GREEN ISLAND, NY 12183-1014
(518) 272-9140
Mailing address
31 LOWER HUDSON AVE, GREEN ISLAND, NY 12183-1014
(518) 272-9140
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG4672
RAILROAD MEDICARE
—
Enumeration date
08/21/2006
Last updated
03/04/2008
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