Individual
BIBI S HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
9418 110TH ST, SOUTH RICHMOND HILL, NY 11419-1015
(646) 667-5163
Mailing address
9418 110TH ST, SOUTH RICHMOND HILL, NY 11419-1015
(646) 667-5163
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
572456-1
NY
Other
Enumeration date
07/25/2016
Last updated
08/03/2016
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