Provider Demographics
NPI:1003238320
Name:DR. LAURA B HEISLER CHIROPRACTOR PLLC
Entity Type:Organization
Organization Name:DR. LAURA B HEISLER CHIROPRACTOR PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:B
Authorized Official - Last Name:HEISLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-235-1971
Mailing Address - Street 1:6 ASPEN RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-1902
Mailing Address - Country:US
Mailing Address - Phone:914-235-1971
Mailing Address - Fax:914-235-1971
Practice Address - Street 1:6 ASPEN RD
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-1902
Practice Address - Country:US
Practice Address - Phone:914-235-1971
Practice Address - Fax:914-235-1971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007018-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty