Damaris Henry
Licensed Practical Nurse in Coram, NY. Individual provider (NPI-1).
NPI number1982202107
StatusActive
Last updated in NPPESOct 9, 2020
Details
- NPI
- 1982202107
- Entity type
- Individual (NPI-1)
- Name
- Damaris Henry
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2020
- Certification date
- Oct 9, 2020
- Last updated
- Oct 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 339410-01 | NY | Yes |
Practice location
1731 Wincoram WayCoram, NY 11727-4449
Phone 631-816-3757
Mailing address
1731 Wincoram WayCoram, NY 11727-4449
Phone 631-816-3757
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All 107 Licensed Practical Nurse providers in Coram · All 676 providers in Coram
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