Organization
ELLEN J. HEUMAN D.D.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN J. HEUMAN D.D.S (OWNER)
(718) 856-9500
Entity
Organization
Contact information
Practice address
865 FLATBUSH AVE, BROOKLYN, NY 11226-3105
(718) 856-9500
Mailing address
PO BOX 260320, BROOKLYN, NY 11226-0320
(718) 856-9500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
035899
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00677830
—
NY
Enumeration date
05/27/2008
Last updated
05/27/2008
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