Individual
HENNESY LORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 VYSE AVE, BRONX, NY 10459-1658
(646) 842-6065
Mailing address
1450 VYSE AVE, BRONX, NY 10459-1658
(646) 842-6065
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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