Provider Demographics
NPI:1114147899
Name:HORE, ALAN PHILIP (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:PHILIP
Last Name:HORE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 AVENUE I
Mailing Address - Street 2:APT 520
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3049
Mailing Address - Country:US
Mailing Address - Phone:718-627-1970
Mailing Address - Fax:212-741-0245
Practice Address - Street 1:1615 AVENUE I
Practice Address - Street 2:APT 520
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-3049
Practice Address - Country:US
Practice Address - Phone:718-627-1970
Practice Address - Fax:212-741-0245
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009892103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical