Individual
MS. CARMEN ELEENAH HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
730 E 229TH ST, BRONX, NY 10466-4102
(718) 684-2729
Mailing address
730 E 229TH ST, BRONX, NY 10466-4102
(718) 684-2729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
496278-1
NY
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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