PHYLLIS S. HYDE


Address: 46 Livingston St, Brooklyn, NY 11201-4812
Phone: 7188551124

PHYLLIS S. HYDE (NPI# 1669579652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669579652
Entity Type Individual
Full Name PHYLLIS S. HYDE
Credential MD
Practice Address 46 Livingston St
Brooklyn
NY 11201-4812
Practice Telephone 7188551124
Practice Fax Number 7188551107
Mailing Telephone 7188551124
Mailing Fax Number 7188551107
Enumeration Date 2006-09-20
Last Update Date 2015-06-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
148894 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01039587 05

Office Location

Street Address 46 LIVINGSTON ST
City BROOKLYN
State NY
Zip Code 11201-4812

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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437675154 Feng Hematology and Medical Oncology Pllc Internal Medicine 833 58th Street, Brooklyn, NY 11220 2017-08-15
1174992184 Tetyana Koulikova Internal Medicine 2272 63rd St Apt 2f, Brooklyn, NY 11204-3153 2015-09-20
1215222005 Jason William Steinberg Internal Medicine 1523 Voorhies Ave Fl 3, Brooklyn, NY 11235-3912 2011-06-09
1013214535 Songchuan Guo Internal Medicine 757 60th St Fl 5, Brooklyn, NY 11220-4209 2011-02-18
1528216264 Valeria Kreyner Internal Medicine 500 4th Avneue, Suite 1, Brooklyn, NY 11215 2008-09-06
1962663674 Nidhi Mishra Internal Medicine 395 Lenox Road, Suny Downstate Medical Center, Brooklyn, NY 11203-2098 2008-06-24
1699945642 San San Wynn, M.d., P.C. Internal Medicine 723 E 87th St, Brooklyn, NY 11236-3620 2008-03-05
1942491337 Mikhail Khazan Internal Medicine 2626 Kings Hwy Apt 4b, Brooklyn, NY 11229-1777 2007-08-09
1184835035 Jason Parker Gonsky Internal Medicine 451 Clarkson Ave Building A Fl 7, Kings County Hospital Center, Brooklyn, NY 11203-2054 2007-05-24
1336230259 Tae K Park Internal Medicine 724 8th Ave, Brooklyn, NY 11215-4204 2006-09-27
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City BROOKLYN
Zip Code 11201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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