Provider Demographics
NPI:1437194420
Name:HECHT, ALAN (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:HECHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1003
Mailing Address - Country:US
Mailing Address - Phone:212-876-0845
Mailing Address - Fax:212-876-0856
Practice Address - Street 1:1075 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1003
Practice Address - Country:US
Practice Address - Phone:212-876-0845
Practice Address - Fax:212-876-0856
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY150442207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00966321Medicaid
13-3522912OtherUNITED
NY13-3522912OtherBLUE CROSS
NY9609528OtherGHI
NYNP165OtherOXFORD
13-3522912OtherAETNA
13-3522912OtherUNITED
NY79D091Medicare PIN