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NPI Code Detail

MEDICARE: DR. NADINE R. HEITZ ED.D.

MEDICARE: DR. NADINE R. HEITZ ED.D.
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
1103T00000XPsychologistPS015102PA

General Provider Information

NPI Number : 1528144169
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NADINE R. HEITZ ED.D.
Provider Business Mailing Address
First Line : 6539 ANTHONY DR STE A
Second Line :
City : VICTOR
State : NY
Zip : 14564-1441
Country : US
Telephone Number : 585-398-8835
Fax Number :
Provider Business Practice Location Address
First Line : 6539 ANTHONY DR STE A
Second Line :
City : VICTOR
State : NY
Zip : 14564-1441
Country : US
Telephone Number : 585-398-8835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 06/04/2025

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Directions to “ DR. NADINE R. HEITZ ED.D.” Practice Location

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