Individual
KERRY MARYSE HENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, PULMONARY MEDICINE, BRONX, NY 10467-2401
(718) 920-6087
Mailing address
306 E 91ST ST, APT 5F, NEW YORK, NY 10128-5357
(518) 577-6353
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
278725
NY
390200000X
Student in an Organized Health Care Education/Training Program
62925
NY
Other
Enumeration date
04/27/2010
Last updated
04/02/2015
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