Basic Information
| Provider Information | |||||||||
| NPI: | 1962883595 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOYT | ||||||||
| FirstName: | TERENCE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 CIRCLE LN | ||||||||
| Address2: | APT 28F | ||||||||
| City: | ALBANY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 122032205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4136291262 | ||||||||
| FaxNumber: | 4134482198 | ||||||||
| Practice Location | |||||||||
| Address1: | 4 EXECUTIVE PARK DR | ||||||||
| Address2: | STE 201 | ||||||||
| City: | ALBANY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 122033718 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5185215457 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2015 | ||||||||
| LastUpdateDate: | 10/01/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.