Individual
LISA MARIE HEELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
519 W. 114TH STREET, HEALTH SERVICES AT COLUMBIA JOHN JAY BUILDING, NEW YORK, NY 10027
(212) 854-9838
(212) 854-1155
Mailing address
143 BENNETT AVENUE, APT 4L, NEW YORK, NY 10040
(212) 927-3954
(212) 854-1155
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3007441
NY
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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