License holder summary

HEAVNER PHILIP ADDISON is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for HEAVNER PHILIP ADDISON is COOPERSTOWN NY. This doctor license is current. The license was granted 12/28/2004 and expired on 03/31/2016.

New York

Office of the Professions

HEAVNER PHILIP ADDISON
Medicine (Physician, Including M Ds & D Os)
License number
234803
Date granted
12/28/2004
Date expires
03/31/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
COOPERSTOWN NY
nymedicine.org
ID 30165769
LAST UPDATED 2024-04-21 02:39:51 UTC

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