Individual
BEVERLY HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
990 ANDERSON AVE, 7G, BRONX, NY 10452-5651
(718) 590-4898
Mailing address
990 ANDERSON AVE, 7G, BRONX, NY 10452-5651
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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