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1851335863
STEPHEN MARK HENESCH
WEST ISLIP, NY
NPI
1851335863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: NY 238991)
Enumeration Date
2006-06-16
Last Update Date
2011-07-29
Business Address
STEPHEN MARK HENESCH D. O.
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 631-376-4027
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Mailing Address
STEPHEN MARK HENESCH D. O.
PO BOX 5918
NEW YORK, NY 10087-5918
Phone number: 800-827-8415
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