Dr. Carolyn Ann Hennecken, MD
Internal Medicine in New York, NY. Individual provider (NPI-1).
NPI number1336769751
StatusActive
Last updated in NPPESMay 11, 2023
Details
- NPI
- 1336769751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Carolyn Ann Hennecken
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2020
- Certification date
- May 11, 2023
- Last updated
- May 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 322236 | NY | Yes |
Practice location
173 Fort Washington AveNew York, NY 10032-3739
Phone 212-305-4600 · Fax 212-305-7439
Mailing address
173 Fort Washington AveNew York, NY 10032-3739
Phone 212-305-4600 · Fax 212-305-7439
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