Dimeis, Heidi Leigh

Dimeis, Heidi Leigh is an individual health care provider with primary practice located at 5823 Widewaters Pkwy , East Syracuse NY 13057-3084. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dimeis, Heidi Leigh can be contacted via phone (315) 500-7546.

Contact Information

Primary practice address
5823 Widewaters Pkwy East Syracuse NY 13057-3084
Fax: (315) 378-4210
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 51104-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 336829 New York

Profile Details

NPI number 1093093478
LBN Legal business name Dimeis, Heidi Leigh
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2011
Last updated Oct 26th, 2020 - about 4 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 1093093478 NPPES
New York MEDICAID 03372061

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