MEDICARE: JOHN F. HEITNER 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	207UN0901X	Nuclear Cardiology Physician	232536	NY
2	207RC0000X	Cardiovascular Disease Physician	232536	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659372688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN F. HEITNER MD

Provider Business Mailing Address
First Line	:	506 6TH ST
Second Line	:	CARDIOLOGY - 2ND FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11215-3609
Country	:	US
Telephone Number	:	718-780-5037
Fax Number	:	718-780-7717

Provider Business Practice Location Address
First Line	:	47 PLAZA ST W
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-3905
Country	:	US
Telephone Number	:	718-789-4322
Fax Number	:

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

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	04/27/2021

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