Individual
HEIDI E. CHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1626 BALLTOWN RD, NISKAYUNA, NY 12309-2304
(518) 382-2511
Mailing address
1001 STERLING RIDGE DR, RENSSELAER, NY 12144-8459
(207) 577-9009
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
718161
NY
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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