Individual
MISS HEATHER LYNN NEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7464 WATER ST, MADISON, NY 13402-9507
(315) 750-8167
Mailing address
7464 WATER ST, MADISON, NY 13402-9507
(315) 750-8167
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00758341
NY
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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