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Individual

JENNIFER T HENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1667 ELIZABETH ST, SCHENECTADY, NY 12303-3805
(518) 356-5377
(518) 881-1489
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
272519
NY
207Q00000X
Family Medicine Physician
35.090299
OH
207Q00000X
Family Medicine Physician
A72197
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A721970
MEDI-CAL
CA
05
03753500
NY
01
140203000144
FIDELIS
NY
01
7071255
AETNA
NY
01
712385
GHI/HMO
NY
01
7512D2
EMPIRE BCBS
NY
Enumeration date
04/11/2007
Last updated
11/17/2025
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