person
Stephanie Heise, PA-C
Medical Physician Assistant in Lakewood, New York
NPI 1053717165

Stephanie Heise is a Medical Physician Assistant based in Lakewood, NY and is specialized in Medical. Stephanie Heise practices in Lakewood, NY and has the professional credentials of PA-C. The NPI Number for Stephanie Heise is 1053717165 and holds a License No. (New York).

The current practice location address for Stephanie Heise is 390 East Fairmount Ave, Lakewood, NY and can be reached out via phone at 716-526-0156.

Location: 390 East Fairmount Ave, Lakewood, NY, 14750
person
Provider Profile Details
NPI Number
1053717165
Provider Name
Stephanie Heise
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
390 East Fairmount Ave, Lakewood, NY, 14750
Phone Number
716-526-0156
Fax Number
Provider Enumeration Date
11/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
390 East Fairmount Ave
City
State
Zip
14750
Phone Number
716-526-0156
Fax Number
person
Provider Business Mailing Address Details
Address
390 East Fairmount Ave
City
State
Zip
14750
Phone Number
716-526-0156
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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