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Individual
DR. MARK STEVEN HEFFRON
Active
Individual
DR. MARK STEVEN HEFFRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
X002652
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0079854
GHI PROVIDER NUMBER
NY
01
—
11-2847332
TAX ID
NY
Enumeration date
10/25/2006
Last updated
07/17/2008
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