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Organization

HENRY HEALTH SERVICES NURSE PRACTITIONER IN ADULT HEALTH, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY HENRY NP (OWNER)
(347) 477-7574
Entity
Organization

Contact information

Practice address
1250 OCEAN PKWY, BROOKLYN, NY 11230-5155
(347) 477-7574
Mailing address
PO BOX 297215, BROOKLYN, NY 11229-7215
(347) 477-7574

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05851565
NY
01
1083256788
NPI
01
14604628
CAQH PROVIDER ID
01
309454
NP LICENSE NUMBER
NY
Enumeration date
08/05/2025
Last updated
08/05/2025
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