NPI 1184334815

Jon Reed Hendricks, PEERSPECIALIST

Practitioner Prevention Professional Wheatley Heights, NY

Practice location

Address: 45 Andrews Ave, Wheatley Heights, NY 11798-2333
Phone: (516) 229-1706

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 780097 (NY)

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Registry record

NPI: 1184334815
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2022
Record last updated: 5 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.