Provider Demographics
NPI:1427019967
Name:HECHT, DAVID GLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GLEN
Last Name:HECHT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:498 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2406
Mailing Address - Country:US
Mailing Address - Phone:917-881-1381
Mailing Address - Fax:516-825-7102
Practice Address - Street 1:498 MERRICK RD
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2406
Practice Address - Country:US
Practice Address - Phone:516-825-7100
Practice Address - Fax:516-825-7102
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008645111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY20-1877851OtherEIN
NY20-1877851OtherEIN
NYU97919Medicare UPIN