Individual
DAVID HEIMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
138 NORTH COURT ST., WAMPSVILLE, NY 13163
(315) 366-2327
Mailing address
200 NORTH GEORGE ST., APT. 1, ROME, NY 13440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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