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Individual

MARC HELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1040 STATE STREET, SCHENECTADY, NY 12307-1508
(518) 374-5353
(518) 377-2517
Mailing address
1040 STATE STREET, SCHENECTADY, NY 12307-1508
(518) 374-5353
(518) 377-2517

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
122543-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0016349
GHI
NY
01
004711832
BLUE SHIELD NORTHEASTERN
NY
05
06000122543
NY
01
10032170
CDPHP
NY
01
156881
MVP HEALTH PLAN
NY
01
MH0467C710
EMPIRE BLUE CROSS
NY
01
P010122543
EXCELLUS BLUE CROSS
NY
Enumeration date
10/04/2006
Last updated
03/07/2023
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