Healthcare Provider Details

I. General information

NPI: 1720169543
Provider Name (Legal Business Name): MICHAEL HUTCHINSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 E 37TH ST SUITE 320
NEW YORK NY
10016-3256
US

IV. Provider business mailing address

345 E 37TH ST SUITE 320
NEW YORK NY
10016-3256
US

V. Phone/Fax

Practice location:
  • Phone: 212-889-2500
  • Fax: 855-850-7848
Mailing address:
  • Phone: 212-889-2500
  • Fax: 855-850-7848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084D0003X
TaxonomyDiagnostic Neuroimaging (Psychiatry & Neurology) Physician
License Number196868
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number196868
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number196868
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: