Individual
DR. JACK HOPPENSTAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
195 MONTAGUE ST, 2ND FLOOR, BROOKLYN, NY 11201-3631
(718) 834-1500
Mailing address
30 PARK AVE, PORT WASHINGTON, NY 11050-4011
(646) 334-0544
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015891
NY
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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