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Individual

DR. MICHELLE HENESCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
40 MAIN ST, MONSEY, NY 10952-3009
(845) 385-9500
Mailing address
14 KINGSLAND CT, FAIR LAWN, NJ 07410-2747
(347) 587-9672

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
011134
NY
152W00000X
Optometrist
27OA00731200
NJ
152WP0200X
Pediatric Optometrist
011134
NY
152WV0400X
Vision Therapy Optometrist
Primary
011134
NY
152WV0400X
Vision Therapy Optometrist
27OA00731200
NJ

Other

Enumeration date
08/01/2024
Last updated
08/24/2025
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