Provider Demographics
NPI:1679597397
Name:HECHT-O'SHEA, EVELYN M (PT)
Entity Type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:M
Last Name:HECHT-O'SHEA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1317 3RD AVE
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2995
Mailing Address - Country:US
Mailing Address - Phone:212-288-2242
Mailing Address - Fax:212-288-4388
Practice Address - Street 1:1317 3RD AVE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2995
Practice Address - Country:US
Practice Address - Phone:212-288-2242
Practice Address - Fax:212-288-4388
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ59601Medicare UPIN