Provider Demographics
NPI:1174679484
Name:HILL, PATRICIA (MS)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E 87TH ST
Mailing Address - Street 2:APT. 24B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1136
Mailing Address - Country:US
Mailing Address - Phone:212-860-2583
Mailing Address - Fax:
Practice Address - Street 1:220 E 54TH ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4837
Practice Address - Country:US
Practice Address - Phone:212-371-2977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000193101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health