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Individual

DR. WILLIAM J HENNESSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PC

Contact information

Practice address
31 LOWER HUDSON AVE, GREEN ISLAND, NY 12183-1014
(518) 272-9140
Mailing address
ONE FOREST MEADOWS, RENSSELAER, NY 12144
(518) 283-9611

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
120355
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160055904
MEDICARE RAILROAD CARRIER
NY
Enumeration date
07/26/2006
Last updated
03/04/2008
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