MEDICARE: MR. DWIGHT E HENDERSON MA-SLP, TSSLD, NYSC

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	235Z00000X	Speech-Language Pathologist	019778-1	NY

General Provider Information

NPI Number	:	1720382120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DWIGHT E HENDERSON MA-SLP, TSSLD, NYSC

Provider Business Mailing Address
First Line	:	57 LINCOLN RD APT B23
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-4057
Country	:	US
Telephone Number	:	917-513-5796
Fax Number	:

Provider Business Practice Location Address
First Line	:	57 LINCOLN RD APT B23
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-4057
Country	:	US
Telephone Number	:	917-513-5796
Fax Number	:

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

Provider Enumeration Date	:	12/29/2010
Last Update Date	:	12/29/2010

Similar Medicare Providers

1184570582 — RAFFAELLA EYDELMAN RN
Practice Location Address:

545 NEPTUNE AVE APT 21E
BROOKLYN, NY
11224-4057

Practice Phone: 917-734-4433
Practice Fax:

1003892381 — M M DENTAL PC
Practice Location Address:

50 SHORE BLVD , LOBBY
BROOKLYN, NY
11235-4057

Practice Phone: 718-769-9777
Practice Fax: 718-769-9777

1174779185 — MARK MEYLER D.D.S.
Practice Location Address:

50 SHORE BLVD , GROUND FLOOR
BROOKLYN, NY
11235-4057

Practice Phone: 718-769-9777
Practice Fax:

1154932671 — ANICKA HAMILTON
Practice Location Address:

208 WASHINGTON PARK
BROOKLYN, NY
11205-4057

Practice Phone: 973-339-0877
Practice Fax:

1073111662 — KSENIYA SANDALNEVA
Practice Location Address:

50 SHORE BLVD
BROOKLYN, NY
11235-4057

Practice Phone: 718-828-2666
Practice Fax:

1811924301 — MICHAEL DI BARI MD
Practice Location Address:

1201 NOSTRAND AVE
BROOKLYN, NY
11225-5911

Practice Phone: 718-758-4144
Practice Fax: 718-758-4145

Directions to “ MR. DWIGHT E HENDERSON MA-SLP, TSSLD, NYSC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.