Individual
CLARENCE B HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
949 COLUMBIA ST, HUDSON, NY 12534-2624
(518) 828-7188
(518) 828-5049
Mailing address
949 COLUMBIA ST, HUDSON, NY 12534-2624
(518) 828-7188
(518) 828-5049
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
128189
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00663025
—
NY
Enumeration date
08/12/2005
Last updated
11/02/2007
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