Individual
DR. CANDICE ISABEL HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1090 AMSTERDAM AVE, NEW YORK, NY 10025-1737
(212) 523-7713
Mailing address
790 RIVERSIDE DR, APT. 3D, NEW YORK, NY 10032-7459
(212) 234-0210
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
249747-1
NY
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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