Individual
FEDERICO ADOLFO HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
109 DELANCEY ST, NEW YORK, NY 10002-3275
(212) 614-2840
(212) 979-0925
Mailing address
109 DELANCEY ST, NEW YORK, NY 10002-3275
(212) 614-2840
(212) 979-0925
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
581673
NY
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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