Individual
DR. HARRY DALE MCHENRY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1138 BROADWAY ST, ELMIRA, NY 14904-2502
(607) 734-7982
(607) 734-1953
Mailing address
571 SAINT JOSEPHS BLVD, FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
290308
NY
207Q00000X
Family Medicine Physician
OS018120
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04428020
—
NY
Enumeration date
05/25/2013
Last updated
11/25/2020
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