Individual
JON REED HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SPECIALIST
Contact information
Practice address
45 ANDREWS AVE, WHEATLEY HEIGHTS, NY 11798-2333
(516) 229-1706
Mailing address
45 ANDREWS AVE, WHEATLEY HEIGHTS, NY 11798-2333
(516) 229-1706
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
780097
NY
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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