Individual
SAMUEL HEIFETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
819 MEEHAN AVE, FAR ROCKAWAY, NY 11691-5517
(216) 832-8876
Mailing address
819 MEEHAN AVE, FAR ROCKAWAY, NY 11691-5517
(216) 832-8876
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
NY
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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