Individual
DR. JOHN C HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101251919
VA
2084V0102X
Vascular Neurology Physician
236665
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02685358
—
NY
01
—
MDJ060
PREFERRED CARE
—
01
—
P010236665
BLUE CHOICE
—
01
—
P020236665
BLUE SHIELD
—
Enumeration date
07/12/2006
Last updated
02/16/2023
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