Organization
DONNA HEFFERNAN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A STEVENSON MD (PRACTICE MANAGER)
(518) 346-3100
Entity
Organization
Contact information
Practice address
63 EAST RD, TROY, NY 12180-6860
(518) 346-3100
(877) 583-1284
Mailing address
PO BOX 3203, SCHENECTADY, NY 12303-0203
(518) 346-3100
(877) 583-1284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01666792112180000
TRICARE
NY
05
—
02425056
—
NY
01
—
1336898303
HIGHMARK
NY
Enumeration date
03/18/2022
Last updated
02/07/2025
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