Individual
DR. STEVEN J HENEGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 734-2695
(607) 734-2917
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 873-1244
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
172313
NY
2086S0102X
Surgical Critical Care Physician
172313
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01266619
—
NY
Enumeration date
02/22/2006
Last updated
06/13/2022
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