Individual
MS. ANGELA TANZIL HENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
75-20 ASTORIA BLVD, SUITE 220, FLUSHING, NY 11369-9810
(718) 888-6923
Mailing address
3 BERRY LN, GLEN COVE, NY 11542-1713
(519) 759-0932
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
004799-1
NY
174H00000X
Health Educator
004799-1
NY
251E00000X
Home Health Agency
004799-1
NY
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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