Stephanie Heise, PA-C

NPI #1053717165 in Lakewood, New York

Provider Information

NPI Number
1053717165
Entity Type
Individual
Name
Stephanie Heise, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Nov 17, 2014
Last Updated
Nov 9, 2021

Practice Location

Address
390 EAST FAIRMOUNT AVE
ZIP Code
14750
Phone
(716) 526-0156

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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