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General NPI Number Information
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NPI Number | 1053286864
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Entity Type | Organization
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Legal Business Name | HEATHER PISANO, NP IN FAMILY HEALTH AND PSYCHIATRY PLLC
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 2711 TRANSIT RD STE 124
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City | ELMA
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State | NY
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Zip | 14059-9041
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Country | US
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Telephone | 716-317-4537
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Fax |
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Provider Business Mailing Address
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Address Line | 2711 TRANSIT RD STE 124
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City | ELMA
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State | NY
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Zip | 14059-9041
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | HEATHER M PISANO
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Credential | FNP-C, PMHNP-BC
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Telephone | 716-317-4537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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