Individual
DR. MICHAEL HEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 LIVINGSTON STREET, SUITE 1901, BROOKLYN, NY 11201
(718) 797-9111
(718) 797-9876
Mailing address
PO BOX 24808, BROOKLYN, NY 11202
(718) 797-9111
(718) 797-9876
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
185419-1
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
185419-1
NY
208000000X
Pediatrics Physician
185419-1
NY
208100000X
Physical Medicine & Rehabilitation Physician
185419-1
NY
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
185419-1
NY
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
185419-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185419-9
WCB AUTH # NYS WORKERS' COMP. BOARD
NY
Enumeration date
11/03/2010
Last updated
04/05/2016
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