Individual
DR. GORDON LEIGH HEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3 LYON PL, OGDENSBURG, NY 13669-2590
(315) 713-6700
Mailing address
3 LYON PL, OGDENSBURG, NY 13669-2590
(315) 713-6700
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
199696
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01600059
—
NY
Enumeration date
07/18/2006
Last updated
07/28/2021
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