Individual
MR. IAN R HEIKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
328 E 62ND ST, NEW YORK, NY 10065-8206
(212) 752-7575
Mailing address
888 MAIN ST, APT. 930, NEW YORK, NY 10044-0213
(646) 678-2353
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007205-1
NY
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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