Individual
MR. GREGORY MICHAEL HEIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
500 W 57TH ST, NEW YORK, NY 10019-2902
(212) 293-3000
Mailing address
11 CLEVELAND ST, APT. 11B, VALLEY STREAM, NY 11580-6003
(646) 872-1263
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
271455
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271455
LPN LICENSE NUMBER
NY
Enumeration date
01/13/2007
Last updated
07/08/2007
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