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Provider Information for 1033139290



DR. JOEL IRA HELLER D.M.D.

Gender: MALE

Individual NPI: 1033139290

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1033139290
Enumeration Date 2006-07-20
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 15 KENWOOD CT
ROCKVILLE CENTRE, NY 11570-1529
United States

Phone: 516-536-7673 | Fax:
View Map External Link
Primary Practice Address 282A SUNRISE HWY
ROCKVILLE CENTRE, NY 11570-4906
United States

Phone: 516-764-6339 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NY 033597