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Dr. Mia Annalise Heiligenstein, MD
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1154881316

Mia Annalise Heiligenstein is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Mia Annalise Heiligenstein practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Mia Annalise Heiligenstein is 1154881316 and holds a License No. (New York).

The current practice location address for Mia Annalise Heiligenstein is 101 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-444-4686 and via fax at 631-444-4622.

Location: 101 Nicolls Rd, Stony Brook, NY, 11794-8091
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154881316
Provider Name
Mia Annalise Heiligenstein
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
101 Nicolls Rd, Stony Brook, NY, 11794-8091
Phone Number
631-444-4686
Fax Number
631-444-4622
Provider Enumeration Date
03/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-8091
Phone Number
631-444-4686
Fax Number
631-444-4622
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-8091
Phone Number
631-444-4686
Fax Number
631-444-4622
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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