Organization
HENDERSON HEALTH SERVICES FAMILY NURSE PRACTITIONER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEBRINA HENDERSON FNP-BC (FAMILY NURSE PRACTITIONER)
(917) 359-4375
Entity
Organization
Contact information
Practice address
75 S BROADWAY FL 4, WHITE PLAINS, NY 10601-4413
(191) 420-0427
Mailing address
75 S BROADWAY FL 4, WHITE PLAINS, NY 10601-4413
(914) 200-4275
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04726798
—
NY
Enumeration date
07/11/2019
Last updated
10/15/2021
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