Individual
GAIL HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
491 WILLIAM ST, EAST ORANGE, NJ 07017-2231
(718) 262-9009
Mailing address
491 WILLIAM ST, EAST ORANGE, NJ 07017-2231
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
279488-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279488-1
LPN
NY
Enumeration date
06/18/2010
Last updated
06/18/2010
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