Henry, Marilyn D.

Henry, Marilyn D. is an sole proprietor health care provider with primary practice located at 12 Taft Ave , Newburgh NY 12550-2834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Henry, Marilyn D. can be contacted via phone (845) 561-1042.

Contact Information

Primary practice address
12 Taft Ave Newburgh NY 12550-2834
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F3200016-1 New York

Profile Details

NPI number 1609069137
LBN Legal business name Henry, Marilyn D.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2007
Last updated Aug 17th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609069137 NPPES
New York Other F320016-1 FNP CERTIFICATE

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