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1790249142
WILLIAM JOHN HEIMERLE
BAY SHORE, NY
NPI
1790249142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 023204)
Enumeration Date
2019-01-29
Last Update Date
2019-01-29
Business Address
WILLIAM JOHN HEIMERLE PA-C
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
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Mailing Address
WILLIAM JOHN HEIMERLE PA-C
81 RHODA AVE
SMITHTOWN, NY 11787-5140
Phone number: 631-672-6233
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