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Individual

ANDREA C HILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
350 STAPLES ST, FARMINGDALE, NY 11735-4260
(516) 425-4058
Mailing address
2834 CARNATION AVE, BALDWIN, NY 11510-4221
(516) 425-4058

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
695228
NY
164W00000X
Licensed Practical Nurse
278339
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02713335
NY
Enumeration date
12/08/2006
Last updated
03/24/2016
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