Individual
DR. CARL W. HEISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 E 72ND ST, SUITE 1J, NEW YORK, NY 10021-4650
(212) 988-4815
(212) 955-1122
Mailing address
420 E 72ND ST, SUITE 1J, NEW YORK, NY 10021-4650
(212) 988-4815
(212) 955-1122
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
185547
NY
Other
Enumeration date
07/28/2006
Last updated
07/11/2011
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