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Individual

DANAE HEID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
117 FALMOUTH ST, 1, ROCHESTER, NY 14615-1949
(585) 621-2815
Mailing address
117 FALMOUTH ST, 1, ROCHESTER, NY 14615-1949

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
262589-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02644517
NY
Enumeration date
04/13/2007
Last updated
07/08/2007
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