Individual
DR. MARIO A HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2452 BRONX PARK E, BRONX, NY 10467-7503
(718) 655-4956
Mailing address
2452 BRONX PARK E, BRONX, NY 10467-7503
(718) 655-4956
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
138309
NY
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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