Individual
HEIDI LEIGH DIMEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5823 WIDEWATERS PKWY, EAST SYRACUSE, NY 13057-3084
(315) 500-7546
(315) 378-4210
Mailing address
5823 WIDEWATERS PKWY, EAST SYRACUSE, NY 13057-3084
(315) 500-7546
(315) 378-4210
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
51104-1
NY
363L00000X
Nurse Practitioner
Primary
336829
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03372061
—
NY
Enumeration date
08/02/2011
Last updated
10/26/2020
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