Individual
WILLIAM F HENEGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8162
(718) 250-6179
Mailing address
245 E 93RD ST, APT 26-E, NEW YORK, NY 10128-3966
(718) 250-8162
(718) 250-6179
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
131572
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00730947
—
NY
Enumeration date
05/30/2006
Last updated
11/19/2007
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