Provider Demographics
NPI:1104180249
Name:YORK, HEATHER SUZANNE (DVM)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:SUZANNE
Last Name:YORK
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10975 GUILFORD RD
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS JUNCTION
Mailing Address - State:MD
Mailing Address - Zip Code:20701-1125
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10975 GUILFORD RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS JUNCTION
Practice Address - State:MD
Practice Address - Zip Code:20701-1125
Practice Address - Country:US
Practice Address - Phone:240-295-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011683207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine