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Individual

DR. CHARLES HARRIS HELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
9 ELYISE RD, MONSEY, NY 10952-1413
(845) 354-0535
(845) 354-1287
Mailing address
9 ELYISE RD, MONSEY, NY 10952-1413
(845) 354-0535
(845) 354-1287

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
006642-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051377
VALUE OPTIONS
NY
01
62046
UNITED BEHAVIORAL HEALTH
MN
01
P368525
OXFORD
NY
Enumeration date
01/03/2007
Last updated
07/08/2007
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