Individual
MRS. JENNIFER LYNN HEIMBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
156 DARTMOUTH RD, MASSAPEQUA, NY 11758-8124
(516) 317-6350
Mailing address
156 DARTMOUTH RD, MASSAPEQUA, NY 11758-8124
(516) 317-6350
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005029-1
NY
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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