Individual
HEIDI A CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2350 MAPLE RD, STE 100, AMHERST, NY 14221-4080
(716) 688-6500
Mailing address
2350 MAPLE RD, STE 100, AMHERST, NY 14221-4080
(716) 688-6500
(716) 688-6501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
305020
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305020
LICENSE
NY
Enumeration date
06/11/2009
Last updated
03/18/2020
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