Individual
BRIAN HENICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032
(212) 305-3997
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
293244
NY
207RX0202X
Medical Oncology Physician
Primary
293244
NY
Other
Enumeration date
03/21/2012
Last updated
07/17/2019
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