Individual
COURTNEY HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
372 E 98TH ST APT 1F, BROOKLYN, NY 11212-4383
(917) 741-4952
Mailing address
372 E 98TH ST APT 1F, BROOKLYN, NY 11212-4383
(917) 741-4952
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
438209
NY
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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