Provider Demographics
NPI:1114342391
Name:HILLOOWALA, BERZISHT ASPI
Entity Type:Individual
Prefix:MR
First Name:BERZISHT
Middle Name:ASPI
Last Name:HILLOOWALA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6767 BURNS STREET
Mailing Address - Street 2:APT 5U
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3511
Mailing Address - Country:US
Mailing Address - Phone:412-692-0829
Mailing Address - Fax:
Practice Address - Street 1:6767 BURNS STREET
Practice Address - Street 2:APT 5U
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3511
Practice Address - Country:US
Practice Address - Phone:412-692-0829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037216225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist