Individual
FELICIA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
104 W 21ST ST, HUNTINGTON STATION, NY 11746-3158
(516) 667-4900
Mailing address
104 W 21ST ST, HUNTINGTON STATION, NY 11746-3158
(516) 667-4900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
353035
NY
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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