Individual
ALICIA HENRIQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 LONGFELLOW AVE, BRONX, NY 10460-4431
(347) 497-3998
Mailing address
254 SUMMIT AVE, MOUNT VERNON, NY 10552-3310
(914) 619-8768
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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