Healthcare Provider Details

I. General information

NPI: 1215860366
Provider Name (Legal Business Name): MS. MALENA HENRY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 HART ST FL 2
BROOKLYN NY
11206-6801
US

IV. Provider business mailing address

181 HART ST FL 2
BROOKLYN NY
11206-6801
US

V. Phone/Fax

Practice location:
  • Phone: 347-981-1299
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number11220501
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: