National Provider Identifier
Heide Kathleen Crandall, MD
Heide Kathleen Crandall, MD is listed in the NPPES registry with a primary specialty of Surgery Physician in Wellsville, NY and a listed phone number of (585) 593-9497.
Profile Overview
- NPI
- 1760463640
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- November 08, 2005
- Last Updated
- September 28, 2022
Practice Location
- 46 Martin Street
- Wellsville, NY 14895
Phone: (585) 593-9497
Specialties
- Surgery Physician (208600000X)
Endpoints
- heidecrandallmd@direct.practicefusion.com
Direct Messaging Address | Wellsville, NY 14895
Full Record
- NPI
- 1760463640
- Entity Type
- Individual
- Last Name
- Crandall
- First Name
- Heide
- Middle Name
- Kathleen
- Name Prefix
- MS.
- Credential
- MD
- Mailing Street Address
- 46 Martin Street
- Mailing City
- Wellsville
- Mailing State
- NY
- Mailing ZIP Code
- 14895
- Mailing Country
- US
- Mailing Phone
- (585) 593-9497
- Mailing Fax
- (585) 596-4048
- Practice Street Address
- 46 Martin Street
- Practice City
- Wellsville
- Practice State
- NY
- Practice ZIP Code
- 14895
- Practice Country
- US
- Practice Phone
- (585) 593-9497
- Practice Fax
- (585) 596-4048
- Enumeration Date
- November 08, 2005
- Last Updated
- September 28, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 28, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)
- Other Identifiers
- 01872279 (NY), 00020353001 (NY, Univera), 000525220001 (NY, BCBS)