Individual
ALAN PAUL HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 BURDETTE DR, CHEEKTOWAGA, NY 14225-1767
(716) 713-8087
Mailing address
111 BURDETTE DR, CHEEKTOWAGA, NY 14225-1767
(716) 713-8087
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
751204-1
NY
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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