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Contact Information

THOMAS E HEINZEN
476 CHRISTIAN HERALD RD
VALLEY COTTAGE, NY10989-2230
 Phone: 845-268-6861
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THOMAS E HEINZEN · (Male)

NPI Number 1073559951
Status Active
Credentials
Entity Individual
Enumeration date 06/21/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 68 012043
  • NY Medicaid 01592781
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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