Basic Information
| Provider Information | |||||||||
| NPI: | 1750453767 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOTCHKISS | ||||||||
| FirstName: | LUCINDA | ||||||||
| MiddleName: | CLARK | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 60 W 66TH ST | ||||||||
| Address2: | APT. 11A | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100236214 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2128770778 | ||||||||
| FaxNumber: | 2128770778 | ||||||||
| Practice Location | |||||||||
| Address1: | 24302 NORTHERN BLVD | ||||||||
| Address2: | JEWISH BOARD OF FAM. & CHILDR'S SERV. (PRIDE OF JUDEA) | ||||||||
| City: | DOUGLASTON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113621150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184236200 | ||||||||
| FaxNumber: | 7184239762 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/14/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 012384-1 | NY | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.