Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 041965 | NY |
Y | 213EG0000X | General Practice | 041965 | NY |
NPI | 1003946898 |
---|---|
Provider Name | Dr. Timothy J. Hill |
First Address | White Plains, NY 10603 |
Second Address | White Plains, NY 10603-3316 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 08/07/2007 |