Individual
REBECCA ELIZABETH HEIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2200 MAIN ST, BUFFALO, NY 14214-2449
(716) 200-4122
Mailing address
2200 MAIN ST, BUFFALO, NY 14214-2449
(716) 200-4122
(716) 783-8825
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310786-01
NY
Other
Enumeration date
09/05/2022
Last updated
09/09/2022
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