Provider Demographics
NPI:1265750939
Name:HIRSCHHORN, SIMON (MS, MA)
Entity type:Individual
Prefix:
First Name:SIMON
Middle Name:
Last Name:HIRSCHHORN
Suffix:
Gender:M
Credentials:MS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 W END AVE
Mailing Address - Street 2:SUITE 5F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-3535
Mailing Address - Country:US
Mailing Address - Phone:212-222-9103
Mailing Address - Fax:
Practice Address - Street 1:915 W END AVE
Practice Address - Street 2:SUITE 5F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-3535
Practice Address - Country:US
Practice Address - Phone:212-222-9103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000383102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst