THOMAS HEINISCH, PA-C
Physician Assistant
Active
Individual
NPI: 1386071587
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 017088 (NY) |
Frequently Asked Questions
NPI 1386071587 is the National Provider Identifier for THOMAS HEINISCH, PA-C, a Physician Assistant provider located in Port Jefferson Station, NY. This NPI was enumerated on October 2, 2013.
THOMAS HEINISCH, PA-C practices at 107 MONTROSE DR, Port Jefferson Station, NY 11776.
Quick Facts
- NPI
- 1386071587
- Type
- Individual
- Enumerated
- Oct 2, 2013
- Last Updated
- Oct 2, 2013
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