Individual
ELIZABETH MARIE HENDREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE RM 202, NEW YORK, NY 10032-3729
(212) 305-0320
(212) 342-1814
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-0320
(212) 342-1814
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
309866
NY
207RN0300X
Nephrology Physician
Primary
309866
NY
Other
Enumeration date
07/07/2021
Last updated
07/22/2021
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