Provider Demographics
NPI:1982933982
Name:GODFREY, HENRY PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:PHILIP
Last Name:GODFREY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:40 SUNSHINE COTTAGE RD
Mailing Address - Street 2:NEW YORK MEDICAL COLLEGE, DEPT. OF PATHOLOGY
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1524
Mailing Address - Country:US
Mailing Address - Phone:914-594-4160
Mailing Address - Fax:914-594-4163
Practice Address - Street 1:40 SUNSHINE COTTAGE RD
Practice Address - Street 2:NEW YORK MEDICAL COLLEGE, DEPT. OF PATHOLOGY
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1524
Practice Address - Country:US
Practice Address - Phone:914-594-4160
Practice Address - Fax:914-594-4163
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-22
Last Update Date:2009-12-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY100544-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine