Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | F000751-1 | NY |
NPI | 1104933076 |
---|---|
Provider Name | Ms. Margaret Mary Heldwein |
First Address | Angola, NY 14006-9058 |
Second Address | Buffalo, NY 14209-1802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
161553949 | TAX ID (01) | NY |