National Provider Identifier
Grace Henry
Grace Henry is listed in the NPPES registry with a primary specialty of Community Health Worker in Lackawanna, NY and a listed phone number of (716) 289-1094.
Profile Overview
- NPI
- 1366296022
- Provider Type
- Individual
- Primary Specialty
- Community Health Worker
- Enumeration Date
- April 17, 2024
- Last Updated
- April 17, 2024
Practice Location
- 790 Ridge RD
- Lackawanna, NY 14218-1629
Phone: (716) 289-1094
Specialties
- Community Health Worker (172V00000X)
Full Record
- NPI
- 1366296022
- Entity Type
- Individual
- Last Name
- Henry
- First Name
- Grace
- Mailing Street Address
- 790 Ridge RD
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1629
- Mailing Country
- US
- Practice Street Address
- 790 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1629
- Practice Country
- US
- Practice Phone
- (716) 289-1094
- Enumeration Date
- April 17, 2024
- Last Updated
- April 17, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 17, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Community Health Worker (172V00000X)