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1487064390
HENRY JEN
STONY BROOK, NY
NPI
1487064390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine Gastroenterology
(Licence: NY 296994)
Enumeration Date
2014-04-30
Last Update Date
2020-07-01
Business Address
HENRY JEN
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-444-2119
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Mailing Address
HENRY JEN
PO BOX 1559
STONY BROOK, NY 11790-0989
Phone number:
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