Individual
DR. HENRY Y TY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
354 MERRIMACK ST, LAWRENCE, MA 01843-1754
(978) 687-2321
(978) 685-7265
Mailing address
354 MERRIMACK ST, LAWRENCE, MA 01843-1754
(978) 687-2321
(978) 685-7265
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
12042
NH
207T00000X
Neurological Surgery Physician
Primary
218030
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030531
NHP
MA
01
—
01Y007853MA01
ANTHEM
NH
01
—
05-00833
EVERCARE
MA
01
—
05-00938
UHC
MA
05
—
2020670
—
MA
05
—
30203970
—
NH
01
—
467235
THP
MA
01
—
59840
FCHP
MA
01
—
7456469
AETNA
MA
01
—
7960842-001
CIGNA
MA
01
—
AA1709
HPHC
MA
01
—
J26789
BCBS
MA
Enumeration date
10/03/2005
Last updated
03/04/2020
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