Individual
DR. BRUCE A. HUBBARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
164 W 80TH ST, NEW YORK, NY 10024-6301
(212) 878-5564
Mailing address
120 CABRINI BLVD, APT. 126, NEW YORK, NY 10033-3438
(212) 787-5564
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011108
NY
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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