Provider Demographics
NPI:1841489937
Name:HOHN, GABRIELA EMMI (PHD)
Entity type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:EMMI
Last Name:HOHN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 3RD AVE
Mailing Address - Street 2:RM 205
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3679
Mailing Address - Country:US
Mailing Address - Phone:212-691-0291
Mailing Address - Fax:
Practice Address - Street 1:106 CHARLES ST
Practice Address - Street 2:SUITE NO. 3
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-2668
Practice Address - Country:US
Practice Address - Phone:212-691-0291
Practice Address - Fax:212-691-0291
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY13357103G00000X, 103TH0004X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYS-13357-9OtherWORKERS' COMPENSATION
NYV375FOtherEMPIRE BLUE CROSS/SHIELD
NY158587OtherVALUEOPTIONS
NY274541000OtherMAGELLAN
NY02157844Medicaid
NY3046038OtherAETNA
NY02157844Medicaid