JUDITH A. HENDRICKS, M.D. P.C.
Ambulatory Health at Richmond Rd, Staten Island, NY

License number
New York 127469
Category
Ambulatory Health
Type
Primary Care
Owner
Name: JUDITH A. HENDRICKS M.D.
Title: PRESIDENT
Phone: (718) 667-5400
Address
Address
1870 Richmond Rd, Staten Island, NY 10306
National Provider ID: 1376700435
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JUDITH A. HENDRICKS, M.D., PC

1870 Richmond Rd, Staten Island, NY 10306

Status:
Inactive
Inactive reason:
Dissolution
Registration:
Jan 16, 1980
Inactive since:
Jun 24, 2013
State ID:
602582
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Judith A Hendricks, 1870 Richmond Rd, Staten Island, NY 10306 (Physical)

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