Individual
JACQUELINE MARIE HEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1616 KENSINGTON AVE, BUFFALO, NY 14215-1433
(716) 835-3097
(716) 837-4654
Mailing address
1616 KENSINGTON AVE, BUFFALO, NY 14215-1433
(716) 835-3097
(716) 837-4654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
275424
NY
Other
Enumeration date
05/02/2011
Last updated
06/27/2014
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