Provider Demographics
NPI:1609010446
Name:HEATON, WILLIAM ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANDREW
Last Name:HEATON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10 NEVADA DR
Mailing Address - Street 2:# 1
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1114
Mailing Address - Country:US
Mailing Address - Phone:516-472-1226
Mailing Address - Fax:516-567-4693
Practice Address - Street 1:10 NEVADA DR
Practice Address - Street 2:# 1
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1114
Practice Address - Country:US
Practice Address - Phone:516-472-1226
Practice Address - Fax:516-567-4693
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY228504207ZB0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine