Individual
MICHELLE HEIDAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 FLATBUSH AVENUE, 14 S, BROOKLYN, NY 11225
(917) 722-2392
Mailing address
900 WEST 190TH STREET, 6N, NEW YORK CITY, NY 10040
(281) 744-1223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
014299
NY
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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