Most Relevant Information
Provider Data
| NPI Number: | 1003375460 |
| Provider Name: | KARA HEITZMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/15/2019 |
| Last Updated: | 03/15/2019 |
Provider Practice Location
1111 EAGLE ST
ARCADE
NY
140099405
Practice Location Phone/Fax
| Phone: | 5853802956 |
| Fax: |
Provider Mailing Location
1111 EAGLE ST
ARCADE
NY
140099405
Provider Mailing Phone/Fax
| Phone: | 5853802956 |
| Fax: |