Provider Demographics
NPI:1679826150
Name:HOENIG, SIDNEY B (RN)
Entity Type:Individual
Prefix:
First Name:SIDNEY
Middle Name:B
Last Name:HOENIG
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:SIDNEY
Other - Middle Name:
Other - Last Name:HOENIG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:2811 AVENUE S
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2542
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2811 AVENUE S
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2542
Practice Address - Country:US
Practice Address - Phone:646-725-2307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-20
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY087372104100000X
NY801526163WP0808X
NY404733363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health