MEDICARE: DR. CHRISTINE HENG D.D.S.

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	122300000X	Dentist	048693-1	NY

General Provider Information

NPI Number	:	1952386120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE HENG D.D.S.

Provider Business Mailing Address
First Line	:	7 PADANARAM RD
Second Line	:	UNIT 23
City	:	DANBURY
State	:	CT
Zip	:	06811-5721
Country	:	US
Telephone Number	:	203-730-9536
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 PELHAM PKWY S
Second Line	:	JACOBI MEDICAL CENTER
City	:	BRONX
State	:	NY
Zip	:	10461-1138
Country	:	US
Telephone Number	:	718-918-3419
Fax Number	:

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

Provider Enumeration Date	:	12/10/2005
Last Update Date	:	07/08/2007

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