Individual
DR. ELLEN J. HEUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
842 PARK AVE, NEW YORK, NY 10021
(212) 327-0576
(212) 737-0696
Mailing address
1175 PARK AVE, APARTMENT 5A-1, NEW YORK, NY 10128-1211
(212) 423-0730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035899
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00677830
—
NY
Enumeration date
01/24/2007
Last updated
07/09/2007
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