National Provider Identifier
Heidi Renee Wilson, M.D.
Heidi Renee Wilson, M.D. is listed in the NPPES registry with a primary specialty of General Practice Physician in Horseheads, NY and a listed phone number of (607) 739-0352.
Profile Overview
- NPI
- 1659486520
- Provider Type
- Individual
- Primary Specialty
- General Practice Physician
- Enumeration Date
- August 20, 2006
- Last Updated
- March 18, 2009
Practice Location
- 100 John Roemmelt Dr
- Horseheads, NY 14845-8301
Phone: (607) 739-0352
Mailing Address
- 722 W Water St
- Elmira, NY 14905-2435
Specialties
- General Practice Physician (208D00000X)
Full Record
- NPI
- 1659486520
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Heidi
- Middle Name
- Renee
- Credential
- M.D.
- Mailing Street Address
- 722 W Water St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-2435
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 271-2099
- Practice Street Address
- 100 John Roemmelt Dr
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-8301
- Practice Country
- US
- Practice Phone
- (607) 739-0352
- Practice Fax
- (607) 739-6909
- Enumeration Date
- August 20, 2006
- Last Updated
- March 18, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Physician (208D00000X)
- Other Identifiers
- 02647932 (NY)