Organization
DOUGLAS HELLER, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS HELLER M.D. (PRESIDENT)
(845) 331-3881
Entity
Organization
Contact information
Practice address
63 HURLEY AVE, KINGSTON, NY 12401-2832
(845) 331-3881
Mailing address
63 HURLEY AVE, KINGSTON, NY 12401-2832
(845) 331-3881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1822401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA4453
RAILROAD MEDICARE
—
Enumeration date
02/28/2008
Last updated
03/14/2008
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