Individual
HEATHER LYNN PALADINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
610 W 158TH ST, NEW YORK, NY 10032-7104
(212) 544-1860
Mailing address
610 W 158TH ST, NEW YORK, NY 10032-7104
(212) 544-1860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
248303
NY
207Q00000X
Family Medicine Physician
A69323
CA
Other
Enumeration date
10/16/2006
Last updated
10/15/2012
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