Individual
MISS COLLEEN PATRICIA HEINZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
36 E 2ND ST, RIVERHEAD, NY 11901-4731
(631) 486-0832
(631) 504-0723
Mailing address
PO BOX 405, RIDGE, NY 11961-0405
(631) 486-0832
(631) 504-0723
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
001814
NY
Other
Enumeration date
08/22/2017
Last updated
12/29/2021
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