Individual
BILL C HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
819 S SALINA ST, SYRACUSE, NY 13202-3536
(315) 476-7921
(315) 475-1448
Mailing address
819 S SALINA ST, SYRACUSE, NY 13202-3536
(315) 476-7921
(315) 475-1448
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
174148-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01852359
—
NY
Enumeration date
11/01/2005
Last updated
08/02/2011
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