Doctor Name: | MRS. VIERA HENTEK |
NPI Number: | 1295703999 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | NYS134136 |
Business Practice Address: | 205 East 76th St M2 New York, NY - 10021 |
Business Phone Number: | 2128793441 |
Business Fax Number: | 2128792063 |
Mailing Address: | 205 E 76th St, M2 NEW YORK |
State: | NY |
Postal Code: | 100212147 |
Phone Number: | 2128793441 |
Fax Number: | 2128792063 |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 05/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | NYS134136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |