Provider Demographics
NPI:1063772911
Name:GEWIRTZ, HINDA ROCHELLE (PSYCHOANALYST)
Entity type:Individual
Prefix:MRS
First Name:HINDA
Middle Name:ROCHELLE
Last Name:GEWIRTZ
Suffix:
Gender:F
Credentials:PSYCHOANALYST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 PARK AVENUE
Mailing Address - Street 2:SUITE 2E
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0361
Mailing Address - Country:US
Mailing Address - Phone:212-288-8160
Mailing Address - Fax:
Practice Address - Street 1:903 PARK AVENUE
Practice Address - Street 2:SUITE 2E
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10075-0361
Practice Address - Country:US
Practice Address - Phone:212-288-8160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000524-1102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst