Provider Demographics
NPI:1427327220
Name:PEDERSEN, HILDA (MB CHB)
Entity type:Individual
Prefix:DR
First Name:HILDA
Middle Name:
Last Name:PEDERSEN
Suffix:
Gender:F
Credentials:MB CHB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 CENTRAL PARK W
Mailing Address - Street 2:APT. 5B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6076
Mailing Address - Country:US
Mailing Address - Phone:212-799-5224
Mailing Address - Fax:
Practice Address - Street 1:55 CENTRAL PARK W
Practice Address - Street 2:APT. 5B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6076
Practice Address - Country:US
Practice Address - Phone:212-799-5224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY098304207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology