| Douglas Heller, Md, Pc | |
|
63 Hurley Ave Kingston NY 12401-2832 | |
| (845) 331-3881 | |
| Not Available |
| Full Name | Douglas Heller, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 63 Hurley Ave, Kingston, New York |
| Authorized Official Name and Position | Douglas Heller (PRESIDENT) |
| Authorized Official Contact | 8453313881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Heller, Md, Pc 63 Hurley Ave Kingston NY 12401-2832 Ph: (845) 331-3881 | Douglas Heller, Md, Pc 63 Hurley Ave Kingston NY 12401-2832 Ph: (845) 331-3881 |
| NPI Number | 1275702821 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 03/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275702821 | NPI | - | NPPES |
| DA4453 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1822401 (New York) | Primary |
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