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NPI Code Detail

MEDICARE: DR. SUSAN FREMER HANS PH.D.

MEDICARE:  DR. SUSAN FREMER HANS  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist5629NY

General Provider Information

NPI Number : 1295876340
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN FREMER HANS PH.D.
Provider Business Mailing Address
First Line : 120 E 90TH ST
Second Line : 14D
City : NEW YORK
State : NY
Zip : 10128-1546
Country : US
Telephone Number : 212-996-1037
Fax Number : 212-996-4267
Provider Business Practice Location Address
First Line : 120 E 90TH ST
Second Line : 14D
City : NEW YORK
State : NY
Zip : 10128-1546
Country : US
Telephone Number : 212-996-1037
Fax Number : 212-996-4267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2007
Last Update Date : 07/08/2007

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Directions to “ DR. SUSAN FREMER HANS PH.D.” Practice Location

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