Healthcare Provider Details

I. General information

NPI: 1639033673
Provider Name (Legal Business Name): JENNIFER HIRSCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER HIRSCH LULOFF PSY.D.

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 W 67TH ST # 6FW
NEW YORK NY
10023-6258
US

IV. Provider business mailing address

27 W 67TH ST # 6FW
NEW YORK NY
10023-6258
US

V. Phone/Fax

Practice location:
  • Phone: 646-457-9145
  • Fax:
Mailing address:
  • Phone: 646-457-9145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number017747-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: