Provider Demographics
NPI:1629362165
Name:HORNIG, MADY (MD)
Entity Type:Individual
Prefix:DR
First Name:MADY
Middle Name:
Last Name:HORNIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 W 168TH ST RM 1706
Mailing Address - Street 2:COLUMBIA U MAILMAN SCH PUBLIC HEALTH
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3727
Mailing Address - Country:US
Mailing Address - Phone:212-342-9036
Mailing Address - Fax:
Practice Address - Street 1:722 W 168TH ST RM 1706
Practice Address - Street 2:COLUMBIA U MAILMAN SCH PUBLIC HEALTH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3727
Practice Address - Country:US
Practice Address - Phone:212-342-9036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2277572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry