Individual
BARRY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 MARLOW ROAD, VALLEY STREAM, NY 11580
(516) 884-7742
Mailing address
23 MARLOW RD, VALLEY STREAM, NY 11580-3705
(516) 884-7742
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/22/2017
Last updated
07/21/2022
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