Provider Demographics
NPI:1962895029
Name:HENA, ZACHARY
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:
Last Name:HENA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 E 210TH ST
Mailing Address - Street 2:ROSENTHAL 4
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2407
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:424 E 34TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4901
Practice Address - Country:US
Practice Address - Phone:212-263-5940
Practice Address - Fax:929-455-9218
Is Sole Proprietor?:No
Enumeration Date:2015-03-13
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY2863912080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program