Individual
MICHAEL HEUBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
247 3RD AVE, SUITE # 203, NEW YORK, NY 10010-7457
(212) 505-9800
(212) 614-0290
Mailing address
247 3RD AVE, SUITE # 203, NEW YORK, NY 10010-7457
(212) 505-9800
(212) 614-0290
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
171503
NY
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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