Individual
PIETRO FERNANDO HENAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N
Contact information
Practice address
2811 QUEENS PLZ N, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Mailing address
15348 79TH ST, HOWARD BEACH, NY 11414-1724
(347) 668-3498
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
517420-01
NY
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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