Individual
KEVIN HEAPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 EXECUTIVE BLVD STE 205, MONTEBELLO, NY 10901-4157
(917) 282-5206
Mailing address
407 BATTALION DR, STONY POINT, NY 10980-2444
(917) 282-5206
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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