Provider Demographics
NPI:1487876082
Name:HATCH, HILARY RUBENSTEIN (PHD)
Entity type:Individual
Prefix:DR
First Name:HILARY
Middle Name:RUBENSTEIN
Last Name:HATCH
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 1:15 W 12TH ST
Mailing Address - Street 2:#1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8546
Mailing Address - Country:US
Mailing Address - Phone:212-366-6122
Mailing Address - Fax:
Practice Address - Street 1:15 W 12TH ST
Practice Address - Street 2:#1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8546
Practice Address - Country:US
Practice Address - Phone:212-366-6122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015641103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical