Individual
MISS AFTON MARIE HEITZENRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-3846
(585) 922-5573
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-3846
(585) 922-5573
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014152
NY
Other
Enumeration date
08/16/2010
Last updated
10/25/2022
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