Individual
ALISHA DANITA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1663 E 17TH ST, BROOKLYN, NY 11229-1259
(718) 339-9700
Mailing address
1663 E 17TH ST, BROOKLYN, NY 11229-1259
(718) 339-9700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
626555
NY
163WH0200X
Home Health Registered Nurse
626555
NY
163WS0200X
School Registered Nurse
Primary
626555
NY
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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