Individual
BARBARA HEINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21 WILLOW POND WAY, STE 200, PENFIELD, NY 14526-2687
(585) 377-0840
(585) 377-9715
Mailing address
21 WILLOW POND WAY, STE 200, PENFIELD, NY 14526-2687
(585) 377-0840
(585) 377-9715
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
155238
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00867854
—
NY
01
—
01922
BLUE CROSS/BLUE SHIELD
NY
01
—
102439DL
PREFERRED CARE
NY
01
—
5168546
AETNA
NY
Enumeration date
07/13/2006
Last updated
07/08/2007
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