MEDICARE: DR. EUGENE P HESLIN MD

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	207Q00000X	Family Medicine Physician	190023-1	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080122699	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	10031706	OTHER	NY	CDPHP
3	11617	OTHER		GHI HMO
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	087230	OTHER	NY	MVP
6	EH06L2310	OTHER		EMPIRE BLUE CROSS

General Provider Information

NPI Number	:	1487657045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENE P HESLIN MD

Provider Business Mailing Address
First Line	:	16 WEST BRIDGE ST
Second Line	:
City	:	SAUGERTIES
State	:	NY
Zip	:	12477
Country	:	US
Telephone Number	:	845-246-3000
Fax Number	:	845-246-7622

Provider Business Practice Location Address
First Line	:	16 WEST BRIDGE ST
Second Line	:
City	:	SAUGERTIES
State	:	NY
Zip	:	12477
Country	:	US
Telephone Number	:	845-246-3000
Fax Number	:	845-246-7622

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	04/01/2011

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Directions to “ DR. EUGENE P HESLIN MD” Practice Location

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