National Provider Identifier
Heather Dissek, MS
Heather Dissek, MS is listed in the NPPES registry with a primary specialty of Specialist in Amherst, NY and a listed phone number of (716) 819-2408.
Profile Overview
- NPI
- 1073990412
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- May 06, 2015
- Last Updated
- May 06, 2015
Practice Location
- 4242 Lea Ridge Road
- Suite 3
- Amherst, NY 14226
Phone: (716) 819-2408
Mailing Address
- 4242 Lea Ridge Road
- Amherst, NY 14226
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1073990412
- Entity Type
- Individual
- Last Name
- Dissek
- First Name
- Heather
- Credential
- MS
- Provider Other Last Name
- Zajac-Beach
- Provider Other First Name
- Heather
- Provider Other Middle Name
- Ann
- Provider Other Credential Text
- MS
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 4242 Lea Ridge Road
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226
- Mailing Country
- US
- Mailing Phone
- (716) 819-2408
- Practice Street Address
- 4242 Lea Ridge Road
- Practice Address Line 2
- Suite 3
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226
- Practice Country
- US
- Practice Phone
- (716) 819-2408
- Enumeration Date
- May 06, 2015
- Last Updated
- May 06, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)