Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 265246 | NY |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 265246 | NY |
NPI | 1497959316 |
---|---|
Provider Name | Dr. William Wesley Heckman |
First Address | New York, NY 10016-9196 |
Second Address | New York, NY 10016-9196 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 05/09/2012 |