Individual
CARLA R HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1021 BROADWAY ST, BUFFALO, NY 14212-1460
(716) 529-3020
(716) 529-3040
Mailing address
1021 BROADWAY ST, BUFFALO, NY 14212-1460
(716) 529-3920
(716) 529-3040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
308608
NY
207Q00000X
Family Medicine Physician
MD040004
DC
Other
Enumeration date
05/21/2008
Last updated
03/23/2021
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