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NPI Code Detail

MEDICARE: MR. FREDERICK S HECHT DMD

MEDICARE:  MR. FREDERICK S HECHT  DMD
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
11223G0001XGeneral Practice Dentistry031476-1NY

General Provider Information

NPI Number : 1639106412
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FREDERICK S HECHT DMD
Provider Business Mailing Address
First Line : 1520 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-1519
Country : US
Telephone Number : 718-761-5757
Fax Number : 718-698-6377
Provider Business Practice Location Address
First Line : 1520 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-1519
Country : US
Telephone Number : 718-761-5757
Fax Number : 718-698-6377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 06/22/2015

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Directions to “ MR. FREDERICK S HECHT DMD” Practice Location

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