Philana J Henderson, CPNP
NPI #1134896327 in New Square, New York
Provider Information
- NPI Number
- 1134896327
- Entity Type
- Individual
- Name
- Philana J Henderson, CPNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- CPNP
- Enumeration Date
- Aug 25, 2021
- Last Updated
- Oct 7, 2021
Practice Location
- Address
- 728 N MAIN ST
- City
- New Square
- State
- New York
- ZIP Code
- 10977-8916
- Phone
- (845) 354-9300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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