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NPI Code Detail

MEDICARE: HEIDI ELIZABETH LADNER MD

MEDICARE: HEIDI ELIZABETH LADNER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician232223NY

General Provider Information

NPI Number : 1376561241
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI ELIZABETH LADNER MD
Provider Business Mailing Address
First Line : PO BOX 430
Second Line : EMERGENCY PRACTICE PLAN
City : FLUSHING
State : NY
Zip : 11352-0430
Country : US
Telephone Number : 610-668-6491
Fax Number : 610-617-6280
Provider Business Practice Location Address
First Line : 5645 MAIN ST
Second Line : NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS - EMERGENCY
City : FLUSHING
State : NY
Zip : 11355-5045
Country : US
Telephone Number : 718-670-1231
Fax Number : 610-617-6280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 12/13/2021

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Directions to “ HEIDI ELIZABETH LADNER MD” Practice Location

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