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Organization

JUDITH A. HENDRICKS, M.D. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUDITH A. HENDRICKS M.D. (PRESIDENT)
(718) 667-5400
Entity
Organization

Contact information

Practice address
1870 RICHMOND RD, STATEN ISLAND, NY 10306-2553
(718) 667-5400
(718) 980-6012
Mailing address
1870 RICHMOND RD, STATEN ISLAND, NY 10306-2553
(718) 667-5400
(718) 980-6012

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
127469
NY

Other

Enumeration date
05/16/2008
Last updated
06/24/2008
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