Individual
MADISON ILYSSA HECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1133 YORK AVE, NEW YORK, NY 10065-8307
(833) 921-2959
Mailing address
265 E 66TH ST APT 8G, NEW YORK, NY 10065-6490
(516) 455-5017
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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