Provider Demographics
NPI:1427021005
Name:MOUCHA-HANTAR, OANA (MD)
Entity Type:Individual
Prefix:DR
First Name:OANA
Middle Name:
Last Name:MOUCHA-HANTAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 WHITE PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-5545
Mailing Address - Country:US
Mailing Address - Phone:914-787-4100
Mailing Address - Fax:914-654-4971
Practice Address - Street 1:685 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-5545
Practice Address - Country:US
Practice Address - Phone:914-787-4100
Practice Address - Fax:914-787-4138
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY227242207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY227242OtherLICENSE
H78316Medicare UPIN