Individual
EMILY ELIZABETH HEBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3815 STATE ROUTE 96, SHORTSVILLE, NY 14548-9512
(585) 905-6564
Mailing address
3815 STATE ROUTE 96, SHORTSVILLE, NY 14548-9512
(585) 905-6564
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
680789
NY
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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