Provider Demographics
NPI:1629168018
Name:HILFER, ALAN EDWARD (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:EDWARD
Last Name:HILFER
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 1:145 W 86TH ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3406
Mailing Address - Country:US
Mailing Address - Phone:212-799-3774
Mailing Address - Fax:212-769-9487
Practice Address - Street 1:145 W 86TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3406
Practice Address - Country:US
Practice Address - Phone:212-799-3774
Practice Address - Fax:212-769-9487
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006646103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV26601Medicare ID - Type Unspecified