Individual
ALICIA ALLANA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3709 FLATLANDS AVE, BROOKLYN, NY 11234-3507
(718) 444-7766
Mailing address
164 METTLERS RD, SOMERSET, NJ 08873-7210
(212) 300-7838
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309351-01
NY
Other
Enumeration date
08/04/2020
Last updated
12/03/2021
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