Individual
DR. DONNA HEINEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
205 N BELLE MEAD AVE, EAST SETAUKET, NY 11733
(631) 444-4630
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
(631) 444-4630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
160040
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01129693
—
NY
01
—
16F35
EMPIRE BC.BS
NY
01
—
4586299
AETNA
NY
Enumeration date
07/11/2006
Last updated
02/27/2013
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