Provider Demographics
NPI:1457513723
Name:VIERA HENTEK MD PC
Entity Type:Organization
Organization Name:VIERA HENTEK MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VIERA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENTEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-879-3441
Mailing Address - Street 1:205 E 76TH ST
Mailing Address - Street 2:#M2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2147
Mailing Address - Country:US
Mailing Address - Phone:212-879-3441
Mailing Address - Fax:212-879-2063
Practice Address - Street 1:205 E 76TH ST
Practice Address - Street 2:#M2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2147
Practice Address - Country:US
Practice Address - Phone:212-879-3441
Practice Address - Fax:212-879-2063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY134136207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty