Individual
FAYE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2306 LOCUST AVE, RONKONKOMA, NY 11779-6522
(631) 833-5577
(631) 615-6160
Mailing address
2306 LOCUST AVE, RONKONKOMA, NY 11779-6522
(631) 833-5577
(631) 615-6160
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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