HENDERSON HEALTH SERVICES FAMILY NURSE PRACTITIONER PLLC NPI 1417509357

NPI Information

NPI: 1417509357
Provider Name: HENDERSON HEALTH SERVICES FAMILY NURSE PRACTITIONER PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
75 S BROADWAY FL 4
WHITE PLAINS, NY
ZIP 10601
Phone: (191) 420-0427
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HENDERSON HEALTH SERVICES FAMILY NURSE PRACTITIONER PLLC is a primary care clinic center in White Plains, NY. HENDERSON HEALTH SERVICES FAMILY NURSE PRACTITIONER PLLC NPI is 1417509357. The provider is registered as an organization entity type.

The provider's business location address is:

75 S BROADWAY FL 4
WHITE PLAINS, NY
ZIP 10601-413
Phone: (191) 420-0427

The provider's authorized official is Sebrina Henderson .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (917) 359-4375.

The enumeration date for this NPI number is 7/11/2019 and was last updated on 10/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04726798	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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