Individual
ROBERT HEDDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1367 WASHINGTON AVE, SUITE 200, ALBANY, NY 12206-1043
(518) 489-2666
(518) 489-5933
Mailing address
1367 WASHINGTON AVE, SUITE 200, ALBANY, NY 12206-1043
(518) 489-2666
(518) 489-5933
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
161357-9
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405988001
BS NENY
NY
05
—
01184674
—
NY
01
—
10000864
CDPHP
NY
01
—
18127
MVP
NY
01
—
4577474
AETNA
NY
01
—
75F361
EMPIRE BLUE CROSS
NY
Enumeration date
07/19/2006
Last updated
02/25/2008
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