Individual
MARYANNE HENDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 951-6848
Mailing address
942 E 32ND ST, BROOKLYN, NY 11210-3938
(212) 951-6848
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F3401281
NY
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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