Provider Demographics
NPI:1538556881
Name:HOYNE, NICOLA MARY
Entity type:Individual
Prefix:MISS
First Name:NICOLA
Middle Name:MARY
Last Name:HOYNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 E 235TH ST
Mailing Address - Street 2:BASEMENT
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10470-1914
Mailing Address - Country:US
Mailing Address - Phone:631-307-2781
Mailing Address - Fax:
Practice Address - Street 1:78 E 235TH ST
Practice Address - Street 2:BASEMENT
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10470-1914
Practice Address - Country:US
Practice Address - Phone:631-307-2781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY920386151103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool