MEDICARE: NIGEL IAN HENRY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	2100031	NY

General Provider Information

NPI Number	:	1710099924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIGEL IAN HENRY MD

Provider Business Mailing Address
First Line	:	55 WATER ST FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10041-0010
Country	:	US
Telephone Number	:	646-680-2888
Fax Number	:	516-542-5556

Provider Business Practice Location Address
First Line	:	101 PENNSYLVANIA AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-2428
Country	:	US
Telephone Number	:	646-680-2888
Fax Number	:	516-542-5556

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	10/28/2025

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