Provider Demographics
NPI:1871728329
Name:HENDERSON, SYLVIA ANNE (LPN)
Entity type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:ANNE
Last Name:HENDERSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 LARCH CT
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2626
Mailing Address - Country:US
Mailing Address - Phone:845-518-3316
Mailing Address - Fax:
Practice Address - Street 1:13 LARCH CT
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2626
Practice Address - Country:US
Practice Address - Phone:845-518-3316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5145726164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse