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Individual

DR. HEIDI VANBELLINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
216 LAFAYETTE ST, SCHENECTADY, NY 12305-2408
(518) 243-3300
(518) 377-9151
Mailing address
1462 ERIE BLVD, SUITE 2, SCHENECTADY, NY 12305-1026

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
161517
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000490107001
BLUE SHIELD
NY
01
040426031911
FIDELIS
NY
01
10002442
CDPHP
NY
01
11316823
CAQH
NY
01
161517-8B
NYS WORKERS' COMP
NY
01
4T0101
BLUE CROSS
NY
01
91655
MVP
NY
Enumeration date
12/22/2005
Last updated
07/08/2007
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