Henry, Tamara M

Henry, Tamara M is an sole proprietor health care provider with primary practice located at 6 Gramatan Ave Ste 625 , Mount Vernon NY 10550-3208. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Henry, Tamara M can be contacted via phone (201) 654-1531.

Contact Information

Primary practice address
6 Gramatan Ave Ste 625 Mount Vernon NY 10550-3208
Phone: (201) 654-1531
Fax: (201) 643-6645
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F04293-01 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 340690 New York

Profile Details

NPI number 1841743911
LBN Legal business name Henry, Tamara M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2016
Last updated May 16th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841743911 NPPES
New York MEDICAID 04830113

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