Individual
MRS. HOLLY HEISEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 RAPELJE RD, WALDEN, NY 12586-2829
(845) 750-6442
Mailing address
51 RAPELJE RD, WALDEN, NY 12586-2829
(845) 778-1497
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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