Individual
AUSTIN HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
100 ROBINSON AVE, MEDFORD, NY 11763-2617
(631) 394-1889
Mailing address
100 ROBINSON AVE, MEDFORD, NY 11763-2617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
717416-1
NY
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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