MRS. Shanay Alexis Henderson

NPI #1093054694 in Freeport, New York

Provider Information

NPI Number: 1093054694
Entity Type: Individual
Name: MRS. Shanay Alexis Henderson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Feb 4, 2013
Last Updated: Aug 16, 2023

Practice Location

Address: 15 DELAWARE AVE
City: Freeport
State: New York
ZIP Code: 11520-2003
Phone: (347) 446-6155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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