Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 218628-1 | NY |
N | 208600000X | Surgeon | 218628-1 | NY |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 218628-1 | NY |
NPI | 1104818244 |
---|---|
Provider Name | Michael A Hill |
First Address | Saranac Lake, NY 12983-5405 |
Second Address | Saranac Lake, NY 12983-5405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 18/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02148658 | (05) | NY |
H39182 | (02) |