Provider Demographics
NPI:1750447827
Name:HUNTER, PATRICIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 BROADWAY
Mailing Address - Street 2:STE. 302
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4704
Mailing Address - Country:US
Mailing Address - Phone:212-229-0595
Mailing Address - Fax:212-229-0595
Practice Address - Street 1:841 BROADWAY
Practice Address - Street 2:STE. 302
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4704
Practice Address - Country:US
Practice Address - Phone:212-229-0595
Practice Address - Fax:212-229-0595
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009356103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV56792Medicare PIN
NYA400109336Medicare PIN