IndividualActive
Petrona Henry, LPN
NPI 1710208384 · Custodial Care Facility · Jamaica, NY
Provider details
- NPI number
- 1710208384
- Entity type
- Individual
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 281046-1 (NY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
13723 167th St
Jamaica, NY 11434-4553
Phone: (347) 885-2998
Approximate (ZIP-level) locationGet directions
Mailing address
13723 167th St
Jamaica, NY 11434-4553
Registry dates
- Enumerated
- 2010-06-18
- Last updated
- 2010-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.