Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 6323 | NY |
NPI | 1124141056 |
---|---|
Provider Name | Dr. Paul Hymowitz |
First Address | New York, NY 10011-7959 |
Second Address | New York, NY 10011-7959 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2007 |
Last Update Date | 08/07/2007 |