Provider Demographics
NPI:1992943625
Name:WORCH, HEDY
Entity type:Individual
Prefix:
First Name:HEDY
Middle Name:
Last Name:WORCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 N QUINCE LN
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1528
Mailing Address - Country:US
Mailing Address - Phone:845-362-0141
Mailing Address - Fax:845-503-2278
Practice Address - Street 1:42 N QUINCE LN
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1528
Practice Address - Country:US
Practice Address - Phone:845-362-0141
Practice Address - Fax:845-503-2278
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator