| Ellen J. Heuman D.d.s | |
|
865 Flatbush Ave Brooklyn NY 11226-3105 | |
| (718) 856-9500 | |
| Not Available |
| Full Name | Ellen J. Heuman D.d.s |
|---|---|
| Speciality | Dentist |
| Location | 865 Flatbush Ave, Brooklyn, New York |
| Authorized Official Name and Position | Ellen J. Heuman (OWNER) |
| Authorized Official Contact | 7188569500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen J. Heuman D.d.s Po Box 260320 Brooklyn NY 11226-0320 Ph: (718) 856-9500 | Ellen J. Heuman D.d.s 865 Flatbush Ave Brooklyn NY 11226-3105 Ph: (718) 856-9500 |
| NPI Number | 1295993319 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295993319 | NPI | - | NPPES |
| 00677830 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 035899 (New York) | Primary |
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