Heverly Medical Inc.

NPI #1902447691 in Niagara Falls, New York

Provider Information

NPI Number: 1902447691
Entity Type: Organization
Organization Name: Heverly Medical Inc.
Primary Specialty: General Practice
Enumeration Date: Oct 3, 2019
Last Updated: Oct 3, 2019

Practice Location

Address: 2315 WHIRLPOOL ST # 415
City: Niagara Falls
State: New York
ZIP Code: 14305-2413
Phone: (210) 607-0126

Authorized Official

Name: DEBRA HEVERLY, MD
Title: MEDICAL DIRECTOR
Phone: (210) 607-0126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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