Deford, Heidi M

Deford, Heidi M is an individual health care provider with primary practice located at 6280 Furnace Rd Ste 600 , Ontario NY 14519-8974. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Women's Health Care, Ambulatory, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Deford, Heidi M can be contacted via phone (585) 880-5102.

Contact Information

Primary practice address
6280 Furnace Rd Ste 600 Ontario NY 14519-8974
Phone: (585) 880-5102
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X 425907 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F349758-01 New York

Profile Details

NPI number 1457017519
LBN Legal business name Deford, Heidi M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2021
Last updated Jul 17th, 2023 - about 3 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 1457017519 NPPES
New York MEDICAID 425907

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