Provider Demographics
NPI:1821876673
Name:SEBRINA HENDERSON NP IN FAMILY HEALTH AND PSYCHIATRY PC
Entity Type:Organization
Organization Name:SEBRINA HENDERSON NP IN FAMILY HEALTH AND PSYCHIATRY PC
Other - Org Name:HENDERSON HEALTH SERVICES FAMILY NURSE PRACTITIONER PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FNP-BC PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:SEBRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:917-359-4375
Mailing Address - Street 1:75 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4413
Mailing Address - Country:US
Mailing Address - Phone:917-359-4375
Mailing Address - Fax:
Practice Address - Street 1:75 S BROADWAY
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4413
Practice Address - Country:US
Practice Address - Phone:914-200-4275
Practice Address - Fax:914-359-2502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty