Individual
HEATHER DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 LAFAYETTE ST FL 5, NEW YORK, NY 10013-4116
(212) 369-6757
Mailing address
110 LAFAYETTE ST FL 5, NEW YORK, NY 10013-4116
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402601
NY
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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