Individual
MR. HENRY ROBERT PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3839 FLATLANDS AVENUE, SUITE 102, BROOKLYN, NY 11234-3533
(347) 907-2992
(718) 338-3176
Mailing address
3839 FLATLANDS AVENUE, SUITE 102, BROOKLYN, NY 11234-3533
(347) 907-2992
(718) 338-3176
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
179494
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01749531
—
NY
01
—
038AO2
BLUE CROSS
NY
01
—
0569153
AETNA US HEALTHCARE
NY
01
—
11879
ELDERPLAN
NY
01
—
179494-A18
HIP
NY
01
—
2257990011
CIGNA
NY
01
—
2593288
GHI
NY
01
—
BK00143
AMERICHOICE
NY
01
—
P00097219
RR MEDICARE
NY
01
—
P2522623
OXFORD
NY
Enumeration date
05/22/2006
Last updated
09/19/2019
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