Individual
NANCY HEEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1217
(631) 473-4284
(631) 331-2204
Mailing address
61 BERKLEY ST, VALLEY STREAM, NY 11581-1803
(516) 644-8727
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
$$$$$$$$$
NY
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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