Individual
JEFFREY HUTTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10326 68TH RD, FOREST HILLS, NY 11375
(718) 261-3330
(718) 897-0095
Mailing address
6735 HARROW ST, FOREST HILLS, NY 11375
(718) 793-4986
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
007303
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00245836
—
NY
Enumeration date
02/09/2007
Last updated
07/08/2007
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