Individual
DR. JASON HECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
319 S MANNING BLVD, SUITE 304, ALBANY, NY 12208-1742
(518) 525-5207
(518) 525-5209
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
240240
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02778518
—
NY
Enumeration date
09/26/2006
Last updated
05/27/2021
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