Individual
DR. GREGORY T HEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1208 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 359-2640
(315) 359-2640
Mailing address
1208 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 359-2640
(315) 359-2640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
206249
NY
208M00000X
Hospitalist Physician
Primary
206249
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01760567
—
NY
Enumeration date
08/10/2006
Last updated
02/24/2010
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