Individual
KEVIN DOUGLAS HEINZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1305 YORK AVE, NEW YORK, NY 10021-5663
(646) 962-2020
Mailing address
1855 W TAYLOR ST, CHICAGO, IL 60612-7242
(312) 996-6562
(312) 996-1934
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036.160433
IL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
329128
NY
Other
Enumeration date
03/19/2018
Last updated
07/29/2025
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