Provider Demographics
NPI:1699901686
Name:HOBART, MEREDITH BRENT (MSN)
Entity type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:BRENT
Last Name:HOBART
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 MERCER ST
Mailing Address - Street 2:SUITE #11F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-6724
Mailing Address - Country:US
Mailing Address - Phone:212-518-1915
Mailing Address - Fax:917-677-7567
Practice Address - Street 1:300 MERCER ST
Practice Address - Street 2:SUITE #11F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-6724
Practice Address - Country:US
Practice Address - Phone:212-518-1915
Practice Address - Fax:917-677-7567
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-03
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF401192-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health