1407251804 NPI number — MRS. CHRISTA HEDWIG HAMMERLING PHD

Table of content: MRS. CHRISTA HEDWIG HAMMERLING PHD (NPI 1407251804)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407251804 NPI number — MRS. CHRISTA HEDWIG HAMMERLING PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMMERLING
Provider First Name:
CHRISTA
Provider Middle Name:
HEDWIG
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BALZERT
Provider Other First Name:
CHRISTA
Provider Other Middle Name:
HEDWIG
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1407251804
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/28/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
103 EAST 75 STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10021
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-535-6203
Provider Business Mailing Address Fax Number:
212-535-6203

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
103 EAST 75 STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-535-6203
Provider Business Practice Location Address Fax Number:
212-535-6203
Provider Enumeration Date:
10/28/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TP0814X , with the licence number:  004920 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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