Kenloy Henry
Specialist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1174394530
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1174394530
- Entity type
- Individual (NPI-1)
- Name
- Kenloy Henry
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2024
- Certification date
- Feb 5, 2024
- Last updated
- Feb 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 1276186181 | NY | Yes |
Practice location
545 Brooklyn Ave Apt 1Brooklyn, NY 11225-5230
Phone 347-461-8083
Mailing address
1400 Old Country Rd Ste C103nWestbury, NY 11590-5156
Phone 516-806-6969
Other practice locations
1400 Old Country Rd Ste C103n
Westbury, NY 11590-5156
Westbury, NY 11590-5156
Phone 516-806-6969
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