MEDICARE: ANNE HECKHEIMER WELLNESS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1073458659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNE HECKHEIMER WELLNESS, INC.

Provider Business Mailing Address
First Line	:	3343 14TH ST APT 4D
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11106-4655
Country	:	US
Telephone Number	:	917-359-8176
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 W 73RD ST STE 100
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-3104
Country	:	US
Telephone Number	:	917-359-8176
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. ANNE R. HECKHEIMER
Credential	:	LMT
Telephone Number	:	917-359-8176

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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