| Henderson Health Services Family Nurse Practitioner Pllc | |
|
75 S Broadway Fl 4 White Plains NY 10601-4413 | |
| (191) 420-0427 | |
| Not Available |
| Full Name | Henderson Health Services Family Nurse Practitioner Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 75 S Broadway Fl 4, White Plains, New York |
| Authorized Official Name and Position | Sebrina Henderson (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 9173594375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henderson Health Services Family Nurse Practitioner Pllc 75 S Broadway Fl 4 White Plains NY 10601-4413 Ph: (914) 200-4275 | Henderson Health Services Family Nurse Practitioner Pllc 75 S Broadway Fl 4 White Plains NY 10601-4413 Ph: (191) 420-0427 |
| NPI Number | 1417509357 |
|---|---|
| Provider Enumeration Date | 07/11/2019 |
| Last Update Date | 10/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417509357 | NPI | - | NPPES |
| 04726798 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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