Organization
HERITAGE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILA SUPERFIN (PRESIDENT)
(800) 652-3116
Entity
Organization
Contact information
Practice address
358 BROADWAY, KINGSTON, NY 12401-5164
(800) 652-3116
(800) 407-6897
Mailing address
PO BOX 2003, KINGSTON, NY 12402-2003
(800) 652-3116
(800) 407-6897
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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