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Individual

MS. AVIEN HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5724 AVENUE N, BROOKLYN, NY 11234-4027
(917) 442-5417
Mailing address
5724 AVENUE N, BROOKLYN, NY 11234-4027
(917) 442-5427

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NY

Other

Enumeration date
11/28/2012
Last updated
02/12/2022
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