Individual provider · Type 1 NPI

Ceira Shermaine Henderson

Specialist · Mastic, NY

NPI number 1245877935 Active

Practice location

18 Abby Ln
Mastic, NY 11950-5204

Call (631) 394-7997 Map

Mailing address

PO Box 148
Center Moriches, NY 11934-0148

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1245877935

Ceira Shermaine Henderson's National Provider Identifier is 1245877935, issued on Dec 2, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mastic, NY. The record was last updated on Dec 2, 2019.