IndividualActive
Henry Heaton, M.D.
NPI 1053798900 · MOHS-Micrographic Surgery Physician · New York, NY
Provider details
- NPI number
- 1053798900
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 303130 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
214 Sullivan St
New York, NY 10012-1354
Phone: (212) 385-3700
Fax: (212) 385-3703
Approximate (ZIP-level) locationGet directions
Mailing address
214 Sullivan St
New York, NY 10012-1354
Registry dates
- Enumerated
- 2015-04-29
- Last updated
- 2020-07-14
- Certified
- 2020-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.