MEDICARE: THERESA HETZLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	042.0013055	VT
2	208000000X	Pediatrics Physician	181118	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619978293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THERESA HETZLER MD

Provider Business Mailing Address
First Line	:	505 E 70TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-4872
Country	:	US
Telephone Number	:	212-746-3303
Fax Number	:	212-746-8503

Provider Business Practice Location Address
First Line	:	505 E 70TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-4872
Country	:	US
Telephone Number	:	212-746-3303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	10/29/2025

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1699634642 — VERONICA YAMANE
Practice Location Address:

505 E 70TH ST
NEW YORK, NY
10021-4872

Practice Phone: 646-962-2205
Practice Fax:

1902365927 — SOPHIE MYRIAM BERGER MD
Practice Location Address:

505 E 70TH ST FL 3
NEW YORK, NY
10021-4872

Practice Phone: 646-962-3410
Practice Fax:

1548263338 — RICHARD J HERZOG M.D.
Practice Location Address:

535 E 70TH ST , DIVISION OF MRI
NEW YORK, NY
10021-4872

Practice Phone: 212-774-2251
Practice Fax: 212-734-7378

1447249016 — ORIT SAIGH MD
Practice Location Address:

505 E 70TH ST
NEW YORK, NY
10021-4872

Practice Phone: 646-362-5895
Practice Fax:

1669454625 — DR. ANDREW J WEILAND MD
Practice Location Address:

535 E 70TH ST
NEW YORK, NY
10021-4872

Practice Phone: 212-606-1575
Practice Fax: 212-535-0426

Directions to “ THERESA HETZLER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.