| NPI | 1326626532 |
|---|---|
| Former Legal Business Name | HENDERSON HEALTH SERVICES FAMILY NURSE PRACTITIONER PLLC |
| Entity Type | Organization |
| Authorized Contact | SEBRINA LEI-LANI XI-AMARU- HENDERSON Fnp 914-200-4275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-10-18 |