Individual
ROBERT JOSEPH HEUTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. ED.
Contact information
Practice address
1397 UNION BLVD, BAY SHORE, NY 11706-7820
(845) 913-8734
Mailing address
1397 UNION BLVD, BAY SHORE, NY 11706-7820
(845) 913-8734
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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