Doctor Name: | DR. QUENTIN OLIVER HYDER |
NPI Number: | 1356493282 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0956931 |
Business Practice Address: | 401 E 147th Street New Beginnings Community Counseling Center Bronx, NY - 10455 |
Business Phone Number: | 7186652456 |
Business Fax Number: | 7184025312 |
Mailing Address: | 250 Grand Concourse, Narco Freedom Incorporated BRONX |
State: | NY |
Postal Code: | 104515430 |
Phone Number: | 7182922240 |
Fax Number: | 7182923030 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 06/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 0956931 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |