Individual
ALFAKELLY M HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 HASTINGS LN, STONY POINT, NY 10980-1020
(845) 538-2054
Mailing address
29 HASTINGS LN, STONY POINT, NY 10980-1020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
787089
NY
363LF0000X
Family Nurse Practitioner
Primary
F355535-01
NY
Other
Enumeration date
11/03/2020
Last updated
12/12/2024
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