Individual
MS. HEIDEMARIE GRATTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
15 KIMBERLY COURT, BAITING HOLLOW, NY 11946
(631) 728-4700
Mailing address
15 KIMBERLY CT, BAITING HOLLOW, NY 11933-1344
(631) 591-2159
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304429-1
NY
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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