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1396843421
HEIDI SHORE
BROOKLYN, NY
NPI
1396843421
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Former Name
HEIDI ROBSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 002629)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Ms. HEIDI SHORE PA
5000 AVENUE K
BROOKLYN, NY 11234
Phone number: 718-968-1515
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Mailing Address
Ms. HEIDI SHORE PA
244 96 61 AVENUE DOUGLASTON NY 11362
DOUGLASTON, NY 11362
Phone number: 718-968-1515
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