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Individual

NILS HENNIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1 GUSTAVE L LEVY PL # 1403, NEW YORK, NY 10029-6504
(212) 824-7033
(212) 824-2327
Mailing address
1 GUSTAVE L LEVY PL # 1403, NEW YORK, NY 10029-6504
(212) 824-7033
(212) 824-2327

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
222774
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02690191
NY
Enumeration date
07/07/2006
Last updated
02/28/2018
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