Active NPI
Eduardo Hormaza
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
National Provider Identifier
1174644595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 999999999999
- Practice address
- 10 Plaza St E
Apt 16H
Brooklyn, NY 11238-4954 - Phone
- (212) 982-3470
- Fax
- (212) 477-0521
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 999999999999 | NY | Primary |
Addresses
Primary practice location
10 Plaza St E
Apt 16H
Brooklyn, NY 11238-4954
Mailing address
57 Saint Marks PL
New York, NY 10003-7902
Phone (212) 982-3470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 999999999999 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174644595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 SAINT MARKS PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100037902",
"telephone_number": "212-982-3470",
"fax_number": "212-477-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PLAZA ST E",
"address_2": "APT 16H",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112384954",
"telephone_number": "212-982-3470",
"fax_number": "212-477-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORMAZA",
"first_name": "EDUARDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "999999999999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.