Individual
DR. GERRIT W HEETDERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4435 SENECA RD, TRUMANSBURG, NY 14886-9201
(607) 387-5707
(607) 387-4354
Mailing address
4435 SENECA RD, TRUMANSBURG, NY 14886-9201
(607) 387-5707
(607) 387-4354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
279852
NY
Other
Enumeration date
04/04/2012
Last updated
06/26/2015
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