Provider Demographics
NPI:1619052610
Name:VAN DER HOEVEN, ANNETTE W (MD)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:W
Last Name:VAN DER HOEVEN
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 1:537 N STATE RD
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-1573
Mailing Address - Country:US
Mailing Address - Phone:914-941-2129
Mailing Address - Fax:
Practice Address - Street 1:110 E. 60TH ST.
Practice Address - Street 2:SUITE 808
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-473-7888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230030207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine