Individual
EDGAR ROLDAO HENRIQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 AUTUMN DR, SLINGERLANDS, NY 12159-9356
(518) 482-8774
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
231783
NY
208M00000X
Hospitalist Physician
231783
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02529371
—
NY
Enumeration date
08/10/2005
Last updated
06/24/2026
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