Ivan Henriquez, ATC

NPI 1851001911 · on the registry since 2022

Practice

Address: 55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone: (201) 392-3424
Fax: (201) 392-3056
Organisation at this address: Mha Llc
Mha Llc
Mha Llc
Mha, Llc
Onemd Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 55

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey