Organization
HEVERLY MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HEVERLY MD (MEDICAL DIRECTOR)
(210) 607-0126
Entity
Organization
Contact information
Practice address
2315 WHIRLPOOL ST # 415, NIAGARA FALLS, NY 14305-2413
(210) 607-0126
Mailing address
2315 WHIRLPOOL ST # 415, NIAGARA FALLS, NY 14305-2413
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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