Individual
RICHARD A HEIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
56 HEMLOCK RD, MANHASSET, NY 11030-1212
(516) 767-8958
(516) 767-6750
Mailing address
56 HEMLOCK RD, MANHASSET, NY 11030-1212
(516) 767-8958
(516) 767-6750
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
160241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01697290-046
—
NY
01
—
160241-6
WORKMANS' COMPENSATION
NY
Enumeration date
11/01/2006
Last updated
07/08/2007
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