Individual
BRIAN DAVID HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 CORNELIA ST, SUITE 102, PLATTSBURGH, NY 12901-2317
(518) 561-6410
(518) 562-7542
Mailing address
214 CORNELIA ST, SUITE 102, PLATTSBURGH, NY 12901-2317
(518) 561-6410
(518) 562-7542
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
280443
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04207714
—
NY
Enumeration date
06/26/2008
Last updated
07/28/2016
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