Basic Information
| Provider Information | |||||||||
| NPI: | 1003009317 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUGELMEYER | ||||||||
| FirstName: | HEATHER | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8 ELDORADO BLVD | ||||||||
| Address2: | |||||||||
| City: | PLAINVIEW | ||||||||
| State: | NY | ||||||||
| PostalCode: | 118034609 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5169336126 | ||||||||
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| Practice Location | |||||||||
| Address1: | 73 S CENTRAL AVE | ||||||||
| Address2: | |||||||||
| City: | VALLEY STREAM | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115805402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5168729698 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2007 | ||||||||
| LastUpdateDate: | 08/21/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 072589 | NY | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.