Provider Demographics
NPI:1659330264
Name:HYMAN, NOAH J (PT)
Entity Type:Individual
Prefix:MR
First Name:NOAH
Middle Name:J
Last Name:HYMAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:119 W 57TH ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-2303
Mailing Address - Country:US
Mailing Address - Phone:212-421-1740
Mailing Address - Fax:212-421-1750
Practice Address - Street 1:119 W 57TH ST
Practice Address - Street 2:SUITE 212
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2303
Practice Address - Country:US
Practice Address - Phone:212-421-1740
Practice Address - Fax:212-421-1750
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY014651225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQL117Q7TV1Medicare PIN
NYQL1171Medicare PIN