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Individual

MR. PAUL L. HELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OPTICIAN

Contact information

Practice address
185 W MERRICK RD, FREEPORT, NY 11520-3712
(516) 867-1213
(516) 867-1214
Mailing address
185 W MERRICK RD, FREEPORT, NY 11520-3712
(516) 867-1213
(516) 867-1214

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004726-1
NY
156FX1800X
Optician
4715
NY
156FX1800X
Optician
6545
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00847345
NY
Enumeration date
07/11/2006
Last updated
12/28/2007
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