Individual
MADELINE ROSE HILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-2500
Mailing address
4720 CENTER BLVD APT 1022, LONG ISLAND CITY, NY 11109-5683
(518) 944-9165
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
09/11/2025
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