Heather R Dishuk
Individual provider Active NPI Family Nurse Practitioner · North Babylon, NY
NPI 1346038213 · NPPES record last updated Apr 29, 2025
Key facts
- NPI
- 1346038213
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 356003 (NY)
- Practice address
- 15 Advent PL
North Babylon, NY 11703-4401 - Phone
- (516) 273-8033
- NPI assigned
- Apr 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 356003 | NY | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 356003 | NY | Yes |
Addresses
Primary practice location
15 Advent PL
North Babylon, NY 11703-4401
Mailing address
15 Advent PL
North Babylon, NY 11703-4401
Phone (516) 273-8033
Other providers in North Babylon, NY
- Wislande Derose
- Julie Devuono
- Jean Dibella
- Jill Lauren Diemer
- Armand Diesso
- Alan Dottin
- Jared J Dowd
- Thomas Joseph Doyle
- Jodi Duffy
- Chanalee Cresida Duncan
All providers in North Babylon, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.