Individual
DR. JONATHAN FREDERICK HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
86 GENESEE STREET, NEW HARTFORD, NY 13413
(315) 732-7909
(315) 793-9307
Mailing address
86 GENESEE STREET, NEW HARTFORD, NY 13413
(315) 732-7909
(315) 793-9307
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
257347
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03272199
—
NY
Enumeration date
07/28/2008
Last updated
11/01/2023
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