Organization
GLADYS HENRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS HENRY (LPN)
(914) 888-4823
Entity
Organization
Contact information
Practice address
870 E 223RD ST, BRONX, NY 10466-4402
(914) 888-4823
Mailing address
870 E 223RD ST, BRONX, NY 10466-4402
(914) 888-4823
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
316201-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
316201-1
OFFICE OF THE PROFESSIONS
NY
Enumeration date
12/22/2014
Last updated
12/22/2014
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