Individual
CORRIN HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 ALABAMA AVE, HEMPSTEAD, NY 11550-7215
(631) 827-6202
Mailing address
208 ALABAMA AVE, HEMPSTEAD, NY 11550-7215
(631) 827-6202
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
338756
NY
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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