Individual
JARED HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
760 PARKSIDE AVE, BROOKLYN, NY 11226-1786
(423) 667-6941
Mailing address
788 LINCOLN PL, BROOKLYN, NY 11216-4302
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
005061-01
NY
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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