Individual
HEATHER HURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
600 NORTHERN BLVD, SUITE 115, GREAT NECK, NY 11021-5200
(516) 482-8220
(516) 482-8221
Mailing address
600 NORTHERN BLVD, SUITE 115, GREAT NECK, NY 11021-5200
(516) 482-8220
(516) 482-8221
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
P68812
NY
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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