MEDICARE: DR. JEFFREY STUART HYMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	148251	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053317396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY STUART HYMAN MD

Provider Business Mailing Address
First Line	:	8012 3RD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3802
Country	:	US
Telephone Number	:	718-745-5600
Fax Number	:	718-745-8860

Provider Business Practice Location Address
First Line	:	8012 3RD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3802
Country	:	US
Telephone Number	:	718-745-5600
Fax Number	:	718-745-8860

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	04/05/2024

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