Individual
MS. HEIDI ELIZABETH BACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
46 GLENWOOD RD, MENANDS, NY 12204-2407
(920) 277-9036
(518) 665-3030
Mailing address
46 GLENWOOD RD, MENANDS, NY 12204-2407
(920) 277-9036
(518) 665-3030
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F002180
NY
Other
Enumeration date
01/28/2015
Last updated
08/15/2024
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