THOMAS J HEINISCH

PORT JEFFERSON STATION, NY
NPI1386071587
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  017088)
Enumeration Date2013-10-02
Last Update Date2013-10-02
Business Address
-- THOMAS J HEINISCH PA-C
107 MONTROSE DR
PORT JEFFERSON STATION, NY 11776-1319
Phone number: 631-487-0083
Mailing Address
-- THOMAS J HEINISCH PA-C
107 MONTROSE DR
PORT JEFFERSON STATION, NY 11776-1319
Phone number: 631-487-0083
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