Individual
MRS. HEATHER ANN RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
257 E MAIN ST STE B, SMITHTOWN, NY 11787-2807
(631) 248-2700
(866) 456-0906
Mailing address
257 E MAIN ST, SMITHTOWN, NY 11787-2807
(631) 248-2700
(866) 456-0906
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F3826281
NY
Other
Enumeration date
04/27/2007
Last updated
03/26/2024
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