Bedard, Heather N

Bedard, Heather N is an individual health care provider with primary practice located at 736 Irving Ave , Syracuse NY 13210-1687. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bedard, Heather N can be contacted via phone (315) 470-7379.

Contact Information

Primary practice address
736 Irving Ave Syracuse NY 13210-1687
Phone: (315) 470-7379
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 383130 New York

Profile Details

NPI number 1114542511
LBN Legal business name Bedard, Heather N
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2020
Last updated Jun 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114542511 NPPES
New York MEDICAID 383130

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