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Individual

HEATHER FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1980 WESTERN AVE, APT 731, ALBANY, NY 12203-5051
(315) 283-1273
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016602
NY
363AS0400X
Surgical Physician Assistant
Primary
483557281
NY

Other

Enumeration date
08/14/2013
Last updated
05/18/2021
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