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Individual

JASON M HEIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
462 GRIDER ST, BUFFALO, NY 14215-3098
(716) 898-3000
Mailing address
180 CAMPBELL BLVD, GETZVILLE, NY 14068-1203
(716) 829-9763

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
308859
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
308859
NY

Other

Enumeration date
02/12/2019
Last updated
01/14/2021
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