Individual
CAROL A HNETILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
MMC - CHILD ANNEX, 3300 KOSSUTH AVENUE, BRONX, NY 10467
(718) 920-7255
Mailing address
530 E 76TH ST, 17J, NEW YORK, NY 10021-3138
(718) 920-7255
(718) 405-5953
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
135625
NY
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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