Individual
MRS. HEATHER C ELDREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 EAGLES POINTE CIRCLE, LIVERPOOL, NY 13090
(315) 622-8328
Mailing address
104 EAGLES POINTE CIRCLE, LIVERPOOL, NY 13090
(315) 622-8328
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
874946141
NY
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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