Individual provider · Type 1 NPI

Matthew Hennessy

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1992105134 Active

Practice location

34 W 139th St
New York, NY 10037-1508

Call (212) 690-7234 Map

Mailing address

40 Emerald Pl
Stratford, CT 06614-2020

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992105134

Matthew Hennessy's National Provider Identifier is 1992105134, issued on Aug 25, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Aug 25, 2014.