# LARCHMONT FAMILY MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124487087
- **Authorized official:** PHILIP HEINEGG M.D. (OWNER)
- **Authorized official phone:** (914) 834-9606

## Contact information

- **Practice address:** 1890 PALMER AVE, SUITE 304, LARCHMONT, NY 10538-3059
- **Practice address phone:** (914) 834-9606
- **Practice address fax:** (914) 834-0648
- **Mailing address:** 1890 PALMER AVE, SUITE 304, LARCHMONT, NY 10538-3059
- **Mailing address phone:** (914) 834-9606
- **Mailing address fax:** (914) 834-0648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2016
- **Last updated:** 02/19/2016