Provider Demographics
NPI:1801844766
Name:HECHT, MARTIN JOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:JOEL
Last Name:HECHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MOSHE
Other - Middle Name:
Other - Last Name:HECHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:156 HEWES ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-8901
Mailing Address - Country:US
Mailing Address - Phone:718-797-9677
Mailing Address - Fax:718-218-7576
Practice Address - Street 1:156 HEWES ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-8901
Practice Address - Country:US
Practice Address - Phone:718-797-9677
Practice Address - Fax:718-218-7576
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY145907207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00708576Medicaid
NYC11953Medicare UPIN
NY00708576Medicaid