Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 25MA08525400 | NJ |
NPI | 1073679916 |
---|---|
Provider Name | Dr. Adrianna Maria Hekiert |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Bridgewater, NJ 08807-2560 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 01/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P00938040 | RAILROAD MEDICARE (01) | NJ |