Doctor Name: | DR. HENDRIK IVO UYTTENDAELE |
NPI Number: | 1194781039 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., PH.D. |
License Number: | 226873-1 |
Business Practice Address: | 969 Main St Suite D Fishkill, NY - 125241789 |
Business Phone Number: | 8458967730 |
Business Fax Number: | 8458967758 |
Mailing Address: | 969 Main St, Suite D FISHKILL |
State: | NY |
Postal Code: | 125241789 |
Phone Number: | 8458967730 |
Fax Number: | 8458967758 |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 01/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 226873-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |