Individual
MR. COURTNEY HESLOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
14576 226TH ST, SPRINGFIELD GARDENS, NY 11413-3528
(718) 525-0040
Mailing address
14576 226TH ST, SPRINGFIELD GARDENS, NY 11413-3528
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
622635
NY
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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