Individual
EILEEN HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 822-6111
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 822-6111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
685471
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405626
NY
Other
Enumeration date
09/19/2018
Last updated
04/07/2025
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