Individual
MRS. BETH HEYDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2384
(516) 663-8288
Mailing address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2384
(516) 663-8288
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301936
NY
Other
Enumeration date
10/29/2007
Last updated
04/16/2021
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