Provider Demographics
NPI:1588958813
Name:O'HAGAN, ANDREW HENRY (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:HENRY
Last Name:O'HAGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 W 70TH ST
Mailing Address - Street 2:APT 1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4602
Mailing Address - Country:US
Mailing Address - Phone:646-418-6868
Mailing Address - Fax:
Practice Address - Street 1:18 W 70TH ST
Practice Address - Street 2:APT 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4602
Practice Address - Country:US
Practice Address - Phone:646-418-6868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2783892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry