Heaphy, Kristen Lee

Heaphy, Kristen Lee is an individual health care provider with primary practice located at 5008 Brittonfield Pkwy Suite 700, East Syracuse NY 13057. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Heaphy, Kristen Lee can be contacted via phone (315) 472-7504.

Contact Information

Primary practice address
5008 Brittonfield Pkwy Suite 700 East Syracuse NY 13057
Phone: (315) 472-7504
Fax: (315) 634-4677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F337409-1 New York

Profile Details

NPI number 1184989881
LBN Legal business name Heaphy, Kristen Lee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2012
Last updated Sep 17th, 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 1184989881 NPPES
New York MEDICAID 03996090

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