Healthcare Provider Details

I. General information

NPI: 1821145806
Provider Name (Legal Business Name): VINCENT EVERTON HUTCHINSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 MALCOLM X BLVD MKL-17105
NEW YORK NY
10037-1802
US

IV. Provider business mailing address

2 CONTINENTAL RD
SCARSDALE NY
10583-7712
US

V. Phone/Fax

Practice location:
  • Phone: 212-939-4012
  • Fax:
Mailing address:
  • Phone: 914-713-4753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number128966
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number128966
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: