MEDICARE: DR. PATRICIA HUNTER PSY.D.

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	103T00000X	Psychologist	009356	NY

General Provider Information

NPI Number	:	1750447827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA HUNTER PSY.D.

Provider Business Mailing Address
First Line	:	841 BROADWAY
Second Line	:	STE. 302
City	:	NEW YORK
State	:	NY
Zip	:	10003-4704
Country	:	US
Telephone Number	:	212-229-0595
Fax Number	:	212-229-0595

Provider Business Practice Location Address
First Line	:	841 BROADWAY
Second Line	:	STE. 302
City	:	NEW YORK
State	:	NY
Zip	:	10003-4704
Country	:	US
Telephone Number	:	212-229-0595
Fax Number	:	212-229-0595

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

Provider Enumeration Date	:	12/30/2006
Last Update Date	:	06/09/2015

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