Individual
DR. JEROME C HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
149 S LAKE AVE, ALBANY, NY 12208-3201
(518) 434-8121
(518) 426-0620
Mailing address
32 WANDER COURT, GLENMONT, NY 12077
(518) 439-6244
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1802101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070008567
RAILROAD MEDICARE
NY
01
—
07210
MVP INS
NY
01
—
10000891
CDPHP INS
NY
Enumeration date
10/20/2006
Last updated
06/23/2008
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