Individual
CAROLYN HEYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 W 119TH ST, NEW YORK, NY 10026-1209
(718) 671-2100
Mailing address
208 W 119TH ST, NEW YORK, NY 10026-1209
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
049412
NY
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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