Ronald Headen
Case Manager/Care Coordinator in Whitestone, NY. Individual provider (NPI-1).
NPI number1669900734
StatusActive
Last updated in NPPESJun 1, 2017
Details
- NPI
- 1669900734
- Entity type
- Individual (NPI-1)
- Name
- Ronald Headen
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2017
- Last updated
- Jun 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
15253 10th AveWhitestone, NY 11357-1252
Phone 718-357-3639
Mailing address
192 McNamara LnTobyhanna, PA 18466-8316
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All 14 Case Manager/Care Coordinator providers in Whitestone · All 1,177 providers in Whitestone
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