Provider Demographics
NPI:1568733806
Name:CONTRACTOR, HEENAPARVEEN RIZWANAHMED (LRTT)
Entity Type:Individual
Prefix:MRS
First Name:HEENAPARVEEN
Middle Name:RIZWANAHMED
Last Name:CONTRACTOR
Suffix:
Gender:F
Credentials:LRTT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 MERIDIAN RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-4239
Mailing Address - Country:US
Mailing Address - Phone:516-622-4446
Mailing Address - Fax:516-622-4446
Practice Address - Street 1:41 MERIDIAN RD
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-4239
Practice Address - Country:US
Practice Address - Phone:516-622-4446
Practice Address - Fax:516-622-4446
Is Sole Proprietor?:No
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3918662471R0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471R0002XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiation Therapy