Individual
JUSTIN HENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PORT WASHINGTON BLVD, EMERGENCY DEPARTMENT, ROSLYN, NY 11576
(516) 562-6000
Mailing address
28 WOODRIDGE LN, SEA CLIFF, NY 11579-1934
(413) 454-4437
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
298560
NY
Other
Enumeration date
04/06/2015
Last updated
03/05/2021
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