Healthcare Provider Details

I. General information

NPI: 1194490037
Provider Name (Legal Business Name): KYMARE DU-ANNE HUTCHINSON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2021
Last Update Date: 08/12/2021
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 W 26TH ST FL 11
NEW YORK NY
10010-1054
US

IV. Provider business mailing address

37 W 26TH ST FL 11
NEW YORK NY
10010-1054
US

V. Phone/Fax

Practice location:
  • Phone: 347-729-8564
  • Fax:
Mailing address:
  • Phone: 347-729-8564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number105148-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: