Provider Demographics
NPI:1952783755
Name:SLIWINSKI, HEATHER
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:SLIWINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 COHOES ROAD
Mailing Address - Street 2:MAPLEWOOD SCHOOL
Mailing Address - City:WATERVLIET
Mailing Address - State:NY
Mailing Address - Zip Code:12189
Mailing Address - Country:US
Mailing Address - Phone:518-328-0430
Mailing Address - Fax:518-328-0428
Practice Address - Street 1:32 COHOES ROAD
Practice Address - Street 2:ACHIEVEMENTS AND KIDS EXPRESS
Practice Address - City:WATERVLIET
Practice Address - State:NY
Practice Address - Zip Code:12189
Practice Address - Country:US
Practice Address - Phone:518-328-0430
Practice Address - Fax:518-328-0428
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-29
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY63936605252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency