Basic Information
| Provider Information | |||||||||
| NPI: | 1316965841 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HILL | ||||||||
| FirstName: | BRETT | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 120 NEWHAM AVE | ||||||||
| Address2: | |||||||||
| City: | BRENTWOOD | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117175624 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6318132143 | ||||||||
| FaxNumber: | 8005526176 | ||||||||
| Practice Location | |||||||||
| Address1: | 165-58 BAISLEY BLVD | ||||||||
| Address2: | |||||||||
| City: | ROCHDALE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11434 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7183414431 | ||||||||
| FaxNumber: | 8887320238 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2006 | ||||||||
| LastUpdateDate: | 02/26/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 010589 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.