Most Relevant Information
Provider Data
| NPI Number: | 1003202268 |
| Provider Name: | HEATHER ROOT MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207RI0200X |
| Specialty: | Internal Medicine |
| License Number: | 309274 |
Most Important Dates
| Enumeration Date: | 04/14/2015 |
| Last Updated: | 03/30/2023 |
Provider Practice Location
111 E 210TH ST
BRONX
NY
104672401
Practice Location Phone/Fax
| Phone: | 7189208592 |
| Fax: | 7184050610 |
Provider Mailing Location
111 E 210TH ST
BRONX
NY
104672401
Provider Mailing Phone/Fax
| Phone: | 7189208592 |
| Fax: | 7184050610 |
Suggested EMR
Infectious Disease EMR