Doctor Name: | DR. HAROLD JOHN HENNING |
NPI Number: | 1063470607 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 228510 |
Business Practice Address: | 1650 State Route 48 Fulton, NY - 130694107 |
Business Phone Number: | 3155987057 |
Business Fax Number: | 3155933708 |
Mailing Address: | 1650 State Route 48, FULTON |
State: | NY |
Postal Code: | 130694107 |
Phone Number: | 3155987057 |
Fax Number: | 3155933708 |
NPI Enumeration Date: | 05/03/2006 |
NPI Last Update Date: | 05/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 228510 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |