Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 042-0011335 | VT |
N | 207X00000X | Orthopaedic Surgeon | 1973931 | NY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 197393-1 | NY |
NPI | 1003899667 |
---|---|
Provider Name | Dr. Deborah A Henley |
First Address | Rutland, VT 05701-4560 |
Second Address | Rutland, VT 05701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2005 |
Last Update Date | 26/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000091501 | (02) | VT |
01888504 | (05) | NY |
G72269 | (02) |