Dr Mark Steven Heffron, DC | |
8003 211th St, Queens Village, NY 11427-1012 | |
(718) 464-8948 | |
(718) 740-0319 |
Full Name | Dr Mark Steven Heffron |
---|---|
Gender | Male |
Speciality | Chiropractor - Radiology |
Location | 8003 211th St, Queens Village, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629153036 | NPI | - | NPPES |
11-2847332 | Other | NY | TAX ID |
0079854 | Other | NY | GHI PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0200X | Chiropractor - Radiology | X002652 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Steven Heffron, DC 8003 211th St, Queens Village, NY 11427-1012 Ph: (718) 464-8948 | Dr Mark Steven Heffron, DC 8003 211th St, Queens Village, NY 11427-1012 Ph: (718) 464-8948 |
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