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Individual

MRS. VIERA HENTEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
205 EAST 76TH ST, M2, NEW YORK, NY 10021
(212) 879-3441
(212) 879-2063
Mailing address
205 E 76TH ST, M2, NEW YORK, NY 10021-2147
(212) 879-3441
(212) 879-2063

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
NYS134136
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01723284
NY
Enumeration date
03/09/2006
Last updated
05/31/2008
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