Healthcare Provider Details
I. General information
NPI: 1780654442
Provider Name (Legal Business Name): ROBERT MORRIS HECHT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/25/2006
Last Update Date: 12/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1650 GRAND CONCOURSE - 5TH FLOOR BRONX LEBANON HOSPITAL, DEPT OF OB/GYN
BRONX NY
10457
US
IV. Provider business mailing address
1650 GRAND CONCOURSE - 5TH FLOOR BRONX LEBANON HOSPITAL, DEPT OF OB/GYN
BRONX NY
10457
US
V. Phone/Fax
- Phone: 718-239-8363
- Fax: 718-239-8360
- Phone: 718-239-8363
- Fax: 718-239-8360
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 187956 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: