Individual
MR. ALBERT WILLIAM HEUSER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
81 GARDEN ST, GARDEN CITY, NY 11530-6506
(516) 965-6684
Mailing address
81 GARDEN ST, GARDEN CITY, NY 11530-6506
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1297124191
NY
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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