Organization
LARCHMONT FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP HEINEGG M.D. (OWNER)
(914) 834-9606
Entity
Organization
Contact information
Practice address
1890 PALMER AVE, SUITE 304, LARCHMONT, NY 10538-3059
(914) 834-9606
(914) 834-0648
Mailing address
1890 PALMER AVE, SUITE 304, LARCHMONT, NY 10538-3059
(914) 834-9606
(914) 834-0648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588678593
NPI
NY
01
—
1629079249
NPI
NY
01
—
1952448862
NPI
NY
Enumeration date
02/19/2016
Last updated
02/19/2016
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