Individual
DR. LAURA HEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 FIRST AVENUE, NYU LANGONE MEDICAL CENTER, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
550 FIRST AVENUE, NYU LANGONE MEDICAL CENTER, NEW YORK, NY 10016-6402
(212) 263-5506
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
283186
NY
Other
Enumeration date
04/27/2011
Last updated
04/02/2017
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