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NPI Code Detail

MEDICARE: DR. ALLEN HELLER DDS

MEDICARE:  DR. ALLEN  HELLER  DDS
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
11223P0300XPeriodontics033069NY

General Provider Information

NPI Number : 1942353958
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLEN HELLER DDS
Provider Business Mailing Address
First Line : 3556 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-3253
Country : US
Telephone Number : 718-948-2222
Fax Number :
Provider Business Practice Location Address
First Line : 3556 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-3253
Country : US
Telephone Number : 718-948-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ALLEN HELLER DDS” Practice Location

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