Individual
JAMES EDWARD HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO PC AOAOS
Contact information
Practice address
347 BEACH 19TH STREET, FAR ROCKAWAY, NY 11691
(718) 869-8888
(718) 869-8893
Mailing address
347 BEACH 19TH STREET, FAR ROCKAWAY, NY 11691
(718) 869-8888
(718) 869-8893
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
183060
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01642126
—
NY
01
—
13292
MEDICARE PAYOR ID
NY
Enumeration date
08/28/2006
Last updated
02/10/2020
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