Individual
KENNETH HESLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
185 MADISON AVE, NEW YORK, NY 10016
(212) 689-7676
(212) 213-4729
Mailing address
450 ENDO BLVD, GARDEN CITY, NY 11530
(516) 832-8000
(516) 832-8379
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
112874
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01181680
—
NY
Enumeration date
12/06/2006
Last updated
07/08/2007
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