Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 015093-1 | NY |
Y | 213ES0000X | Sports Medicine | 015093-1 | NY |
NPI | 1245678705 |
---|---|
Provider Name | Mr. Steven William Hill |
First Address | Owego, NY 13827-4845 |
Second Address | Owego, NY 13827-4845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2013 |
Last Update Date | 06/06/2013 |