Basic Information
| Provider Information | |||||||||
| NPI: | 1447502703 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUNT | ||||||||
| FirstName: | ALAN | ||||||||
| MiddleName: | LYLE | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 115 3RD PL # 4 | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112314508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9524121451 | ||||||||
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| Practice Location | |||||||||
| Address1: | 97 AMITY ST | ||||||||
| Address2: | 6TH FLOOR | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112016004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7187801065 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2012 | ||||||||
| LastUpdateDate: | 10/11/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 080036 | NY | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.