Individual
ALTHEA ROSE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7851 BREWERTON RD # 1, CICERO, NY 13039-9533
(315) 484-5809
Mailing address
2221 COUNTY ROUTE 45, FULTON, NY 13069-4479
(315) 529-0115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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