Individual
MRS. CONSUELO DELK HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6 WALWIN PLACE, HUNTINGTON, NY 11743
(631) 796-8843
Mailing address
6 WALWIN PL, HUNTINGTON, NY 11743-4750
(631) 796-8843
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303301-1
NY
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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