Provider Demographics
NPI:1174949424
Name:HEARTSONG, INC
Entity type:Organization
Organization Name:HEARTSONG, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ULLMANN
Authorized Official - Suffix:
Authorized Official - Credentials:LCAT
Authorized Official - Phone:914-358-5613
Mailing Address - Street 1:277 MARTINE AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-3401
Mailing Address - Country:US
Mailing Address - Phone:914-358-5613
Mailing Address - Fax:
Practice Address - Street 1:277 MARTINE AVE STE 230
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-3401
Practice Address - Country:US
Practice Address - Phone:914-358-5613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health