Henriques, Edgar R.
Henriques, Edgar R. is an sole proprietor health care provider with primary practice located at 315 S Manning Blvd 6 Cusack, Albany NY 12208-1707. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Henriques, Edgar R. can be contacted via phone (518) 525-8600.Contact Information
Primary practice address
315 S Manning Blvd 6 Cusack
Albany NY 12208-1707
Phone: (518) 525-8600
Fax: (518) 525-6891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 231783 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 231783 | New York |
Profile Details
| NPI number | 1508868415 |
|---|---|
| LBN Legal business name | Henriques, Edgar R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Apr 29th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508868415 | NPPES |
| New York | MEDICAID | 02529371 |
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