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NPI Profile for Dr AVIS HENDRICKSON in YONKERS, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
101YS0200X | |||
Counselor |
101Y00000X |
| NPI # | 1598962250 |
|
| Status | Active | |
| Credentials | ED.D. | |
| Entity | Individual | |
| Enumeration date | 06/27/2007 | |
| Last updated | 07/18/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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AVIS HENDRICKSON
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AVIS HENDRICKSON, ED.D.