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Individual

DR. HEATHER L OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
155 CANAL ST, NEW YORK, NY 10013-4511
(212) 431-9010
(646) 898-0659
Mailing address
59 THOMPSON ST APT 10, NEW YORK, NY 10012-4360
(917) 771-1765

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
239078-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2863761
NY
Enumeration date
03/08/2007
Last updated
09/16/2013
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