Healthcare Provider Details

I. General information

NPI: 1841489937
Provider Name (Legal Business Name): GABRIELA EMMI HOHN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 03/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 CHARLES ST SUITE NO. 3
NEW YORK NY
10014-2668
US

IV. Provider business mailing address

1651 3RD AVE RM 205
NEW YORK NY
10128-3679
US

V. Phone/Fax

Practice location:
  • Phone: 212-691-0291
  • Fax: 212-691-0291
Mailing address:
  • Phone: 212-691-0291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number13357
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number13357
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number13357
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: