Provider Demographics
NPI:1851334643
Name:FINDLETAR HINES, HEATHER (CNM)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:FINDLETAR HINES
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 GREGG ST
Mailing Address - Street 2:
Mailing Address - City:EAST PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-4591
Mailing Address - Country:US
Mailing Address - Phone:631-358-6263
Mailing Address - Fax:631-317-2952
Practice Address - Street 1:95 HORSEBLOCK RD UNIT 6
Practice Address - Street 2:
Practice Address - City:YAPHANK
Practice Address - State:NY
Practice Address - Zip Code:11980-2301
Practice Address - Country:US
Practice Address - Phone:631-317-2952
Practice Address - Fax:631-317-2952
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF001006367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02280220Medicaid
NY7174593OtherAETNA
NYM1M891OtherEMPIRE BC.BS
NYQ19079Medicare UPIN
NY02280220Medicaid