Individual
JASMIT KAUR HEERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4011
Mailing address
101 DATES DR, ITHACA, NY 14850-1383
(607) 274-4011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
338845-01
NY
208M00000X
Hospitalist Physician
Primary
338845-01
NY
Other
Enumeration date
08/25/2021
Last updated
09/09/2025
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