Individual
SAMANTHA HEATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4109 W GENESEE ST, SYRACUSE, NY 13219-1956
(781) 312-9039
(781) 321-8611
Mailing address
5100 W TAFT RD, STE 4M, LIVERPOOL, NY 13088-3810
(781) 312-9039
(781) 321-8611
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008327
NY
Other
Enumeration date
06/22/2015
Last updated
08/22/2017
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