Individual
ANNALISE HILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9000
Mailing address
218 E 84TH ST APT 2D, NEW YORK, NY 10028-2938
(909) 705-7755
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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