Individual
HENRY JEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2119
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
296994
NY
Other
Enumeration date
04/30/2014
Last updated
07/01/2020
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