Karen K Heitzman
Internist Geriatric Medicine
102 W Seneca St
Manlius
, New York 13104-2480
Karen K Heitzman
Internist Geriatric Medicine
102 W Seneca St
Manlius
, New York 13104-2480
(315) 701-2520
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Karen K Heitzman
- 739 Irving Ave Ste 200
- Syracuse, NY
- Zip : 13210-1668
- Fax : (315) 701-2520
- Phone : (315) 479-5070
Second Address
- Karen K Heitzman
- 102 W Seneca St
- Manlius, NY
- Zip : 13104-2480
- Fax : (315) 682-0570
- Phone : (315) 682-6600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 165776 | NY |
| Y | 111NI0900X | Internist | 165776 | NY |
| N | 207RG0300X | Geriatric Medicine | 165776 | NY |
National Provider Identifier
| NPI | 1073559845 |
|---|---|
| Provider Name | Karen K Heitzman |
| First Address | Syracuse, NY 13210-1668 |
| Second Address | Manlius, NY 13104-2480 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2006 |
| Last Update Date | 18/08/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01013510 | (05) | NY |
| B82547 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.