Organization
PETER J HEFFER MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA MARIE STROCK (MEDICAL BILLER)
(718) 961-5722
Entity
Organization
Contact information
Practice address
142 07 BOOTH MEM AVE, FLUSHING, NY 11355-5343
(718) 961-5722
(718) 321-3099
Mailing address
14207 BOOTH MEMORIAL AVE, FLUSHING, NY 11355-5343
(718) 961-5722
(718) 321-3099
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00884973
—
NY
Enumeration date
07/12/2007
Last updated
09/20/2007
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