Basic Information
Provider Information
NPI: 1497701379
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HECHT
FirstName: HARVEY
MiddleName: LEON
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5655 HUDSON DR STE 210
Address2: ARIS RADIOLOGY
City: HUDSON
State: OH
PostalCode: 442364455
CountryCode: US
TelephoneNumber: 3306551869
FaxNumber: 3306553828
Practice Location
Address1: 6 SHELBURNE RD
Address2:  
City: STAMFORD
State: CT
PostalCode: 069023628
CountryCode: US
TelephoneNumber: 2033590130
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/25/2006
LastUpdateDate: 11/09/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X14685CTY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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