Heinzen, Thomas Edward

Heinzen, Thomas Edward is an individual health care provider with primary practice located at 476 Christian Herald Rd , Valley Cottage NY 10989-2230. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Heinzen, Thomas Edward can be contacted via phone (845) 268-6861.

Contact Information

Primary practice address
476 Christian Herald Rd Valley Cottage NY 10989-2230
Phone: (845) 268-6861
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 68 012043 New York

Profile Details

NPI number 1073559951
LBN Legal business name Heinzen, Thomas Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073559951 NPPES
New York MEDICAID 01592781

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