Individual
HEATHER THU RATTENBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1290 UPPER FRONT ST, BINGHAMTON, NY 13901-1046
(607) 722-3417
(607) 722-7610
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 722-3417
(607) 722-7610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
272759
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2012
Last updated
06/10/2015
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