National Provider Identifier

Harry Dale McHenry II, DO

Harry Dale McHenry II, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Elmira, NY and a listed phone number of (607) 734-7982.

NPI 1194162552Elmira, NYFamily Medicine Physician

Profile Overview

NPI
1194162552
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
May 25, 2013
Last Updated
November 25, 2020

Practice Location

  • 1138 Broadway St
  • Elmira, NY 14904-2502

Phone: (607) 734-7982

Mailing Address

  • 571 Saint Josephs Blvd
  • Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Family Medicine Physician (207Q00000X)
  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1194162552
Entity Type
Individual
Last Name
McHenry
First Name
Harry
Middle Name
Dale
Name Prefix
Dr.
Name Suffix
II
Credential
DO
Mailing Street Address
571 Saint Josephs Blvd
Mailing Address Line 2
Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Practice Street Address
1138 Broadway St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14904-2502
Practice Country
US
Practice Phone
(607) 734-7982
Practice Fax
(607) 734-1953
Enumeration Date
May 25, 2013
Last Updated
November 25, 2020
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 2
193200000X Multi-Specialty Group
Certification Date
November 25, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)
Other Identifiers
04428020 (NY)