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Individual

HERBERT C HENKEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
511 E PARK AVE, LONG BEACH, NY 11561-3741
(516) 889-1518
(516) 889-1519
Mailing address
511 E PARK AVE, LONG BEACH, NY 11561-3741
(516) 889-1518
(516) 889-1519

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
147107
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00812919
NY
Enumeration date
08/09/2005
Last updated
07/08/2007
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