Individual
HEADE A BANIEVICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9811 W CHARLESTON BLVD STE 2-641, LAS VEGAS, NV 89117-7528
(855) 864-4322
Mailing address
3155 ROCHAMBEAU AVE APT 2D, BRONX, NY 10467-3852
(646) 764-2286
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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