Individual
DR. PETER WILLIAM HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 UNION SQ E FRNT 2L, NEW YORK, NY 10003-3314
(212) 241-5873
Mailing address
10 UNION SQ E FRNT 2L, NEW YORK, NY 10003-3314
(212) 241-5873
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
250095
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/21/2008
Last updated
07/21/2022
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