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Individual

DE LYS EVA ST HILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2182 MORRIS AVE, UNION, NJ 07083-5902
(908) 851-2666
Mailing address
25 W 132ND ST APT 5C, NEW YORK, NY 10037-3220
(646) 241-7910
(917) 456-3543

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
178853
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA09606500
NJ
208D00000X
General Practice Physician
178853
NY
208D00000X
General Practice Physician
25MA09606500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01618313
NY
Enumeration date
07/05/2006
Last updated
06/05/2020
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