Individual
CAROLE N HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
1241 LAFAYETTE AVE, BRONX, NY 10474-5336
(718) 378-6500
(718) 993-0647
Mailing address
1241 LAFAYETTE AVE, BRONX, NY 10474-5336
(718) 378-6500
(718) 993-0647
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10502
NY
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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