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Contact Information

JONATHAN F HENDERSON, MD
86 GENESEE STREET
NEW HARTFORD, NY13413
 Phone: 315-732-7909
 Fax: 315-793-9307
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JONATHAN F HENDERSON · (Male)

NPI # 1912162116
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2008
Last updated 11/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 257347
  • NY Medicaid 03272199
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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