Organization
HERITAGE HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY R SUNDERLIN (PRESIDENT)
(315) 736-3392
Entity
Organization
Contact information
Practice address
2350 DOUGLAS AVE, YORKVILLE, NY 13495-1729
(315) 736-3392
Mailing address
2350 DOUGLAS AVE, YORKVILLE, NY 13495-1729
(315) 736-3392
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
4427770001
NY
Other
Enumeration date
06/07/2007
Last updated
07/29/2008
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