Doctor Name: | DR. WILLIAM J HENNESSEY |
NPI Number: | 1952325649 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD PC |
License Number: | 120355 |
Business Practice Address: | 31 Lower Hudson Ave Green Island, NY - 121831014 |
Business Phone Number: | 5182729140 |
Business Fax Number: | |
Mailing Address: | One Forest Meadows, RENSSELAER |
State: | NY |
Postal Code: | 12144 |
Phone Number: | 5182839611 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 03/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 120355 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |