Individual
MR. BARON HEISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 483-6534
Mailing address
8 ELTING PL, HIGHLAND, NY 12528-1302
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
009033
NY
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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