Provider Demographics
NPI:1851793715
Name:HEFFRON, ALLISON D (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:D
Last Name:HEFFRON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 MADISON ST APT 2FN
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-7840
Mailing Address - Country:US
Mailing Address - Phone:631-678-7928
Mailing Address - Fax:
Practice Address - Street 1:73 MADISON ST APT 2FN
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-7840
Practice Address - Country:US
Practice Address - Phone:631-678-7928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012565-1111N00000X
NY005577-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist