Individual
GABRIELLA HEINIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 471-1564
Mailing address
101 MACCOLLUM RD, ELBRIDGE, NY 13060-9709
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404993-01
NY
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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