Individual
STEPHEN R HILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5360 NECONSET HIGHWAY, SUITE D, PORT JEFFERSON STATION, NY 11776
(631) 928-7070
(631) 928-0093
Mailing address
5360 NECONSET HIGHWAY, SUITE D, PORT JEFFERSON STATION, NY 11776
(631) 928-7070
(631) 928-0093
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
112016
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096749
US HEALTHCARE
—
01
—
1323
VYTRA
—
01
—
4009369
TRI CARE
—
01
—
436405
AETNA
—
01
—
AJ00600
MDNY
—
01
—
CS51032
OXFORD
—
01
—
OC4637
HEALTH NET
—
01
—
SRH1582071
BLUE CROSS BLUE SHIELD
—
Enumeration date
06/01/2006
Last updated
07/08/2007
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