Individual
BRANDON MICHAEL HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1730 LAKEVILLE RD, NEW HYDE PARK, NY 11040-2506
(516) 326-4580
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044302
NY
Other
Enumeration date
07/03/2019
Last updated
08/18/2021
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