STACY ANN HENIGSMAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161752

License Status

ACTIVE

Business

Title

First Name

STACY

Middle

ANN

Last Name

HENIGSMAN

Business Name

STACY ANN HENIGSMAN DO

Original Issue Date

08/02/2022

Effective Date

05/14/2023

Expiration Date

07/31/2026

City

NEW YORK

State

Zip

10003

Ever Disciplined

LastModifiedDate

06/14/2024