Individual
ANGELA ROSALIE HERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14410 229TH ST, SPRINGFIELD GARDENS, NY 11413-3616
(718) 341-3519
Mailing address
14410 229TH ST, SPRINGFIELD GARDENS, NY 11413-3616
(718) 341-3519
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
185505
NY
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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