Henderson, Earlena

Henderson, Earlena is an individual health care provider with primary practice located at 2015 Grand Ave Apt 2F , Bronx NY 10453-4576. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Henderson, Earlena can be contacted via phone (718) 299-7285.

Contact Information

Primary practice address
2015 Grand Ave Apt 2F Bronx NY 10453-4576
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X F30996-01 New York

Profile Details

NPI number 1376149724
LBN Legal business name Henderson, Earlena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2020
Last updated Mar 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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