Healthcare Provider Details

I. General information

NPI: 1437720463
Provider Name (Legal Business Name): PAMELA HYMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RIVKA HYMAN LMSW

II. Dates (important events)

Enumeration Date: 07/09/2021
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

593 MAIN ST APT B
ISLIP NY
11751-3555
US

IV. Provider business mailing address

593 MAIN ST APT B
ISLIP NY
11751-3555
US

V. Phone/Fax

Practice location:
  • Phone: 631-526-9482
  • Fax:
Mailing address:
  • Phone: 631-526-9482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: