Organization
SPINE AND PERIPHERAL NEUROCARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL W. HEISE M.D. (MANAGING DIRECTOR)
(212) 988-4815
Entity
Organization
Contact information
Practice address
420 E 72ND ST, SUITE 1J, NEW YORK, NY 10021-4650
(212) 988-4815
(212) 988-1122
Mailing address
420 E 72ND ST, SUITE 1J, NEW YORK, NY 10021-4650
(212) 988-4815
(212) 988-1122
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
185547
NY
Other
Enumeration date
10/03/2007
Last updated
04/28/2011
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