Individual
ARLENE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
411 MAIN ST STE 300, CATSKILL, NY 12414-1366
(518) 719-3600
(518) 719-3783
Mailing address
411 MAIN ST STE 300, CATSKILL, NY 12414-1366
(518) 719-3600
(518) 719-3783
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
148294-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400508001
BLUE SHIELD NE NY
NY
01
—
004394
EMPIRE BC
—
05
—
00473230
—
NY
01
—
10002875
CDPHP
NY
01
—
337050
MEDICARE A
NY
Enumeration date
06/12/2009
Last updated
06/12/2009
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