Individual
DR. JUSTIN HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-7302
(212) 263-7511
Mailing address
200 W 26TH ST, APT 4A, NEW YORK, NY 10001-6745
(610) 507-4054
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
258517
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2008
Last updated
04/15/2021
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