Provider Demographics
NPI:1518070085
Name:ZIELINSKI, HEIDI L (NM)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:L
Last Name:ZIELINSKI
Suffix:
Gender:F
Credentials:NM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 VISCAYA PKWY
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-3237
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1265 VISCAYA PKWY
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-3237
Practice Address - Country:US
Practice Address - Phone:239-574-2229
Practice Address - Fax:239-574-2762
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF001031367A00000X
FLAPRN11000263176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02661749Medicaid
NY113576CQOtherPREFERRED CARE
NYP010001031OtherBLUE CROSS OF ROCHESTER
NY001031Medicaid
NYP010001031OtherBLUE CHOICE OF ROCHESTER
NY02661749Medicaid
NYP010001031OtherBLUE CROSS OF ROCHESTER
NYDD1355Medicare PIN