Provider Demographics
NPI:1366401739
Name:HENIG, SHERRY (PHD)
Entity type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:
Last Name:HENIG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 LENT DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-6432
Mailing Address - Country:US
Mailing Address - Phone:516-933-9758
Mailing Address - Fax:516-933-9758
Practice Address - Street 1:37 LENT DR
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-6432
Practice Address - Country:US
Practice Address - Phone:516-933-9758
Practice Address - Fax:516-933-9758
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006988-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV20391Medicare ID - Type Unspecified