Provider Demographics
NPI:1114799707
Name:HECTOR, BILLIE (NP)
Entity Type:Individual
Prefix:MS
First Name:BILLIE
Middle Name:
Last Name:HECTOR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 BEACH 61ST ST
Mailing Address - Street 2:
Mailing Address - City:ARVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11692-1856
Mailing Address - Country:US
Mailing Address - Phone:646-207-9318
Mailing Address - Fax:
Practice Address - Street 1:182 BEACH 61ST ST
Practice Address - Street 2:
Practice Address - City:ARVERNE
Practice Address - State:NY
Practice Address - Zip Code:11692-1856
Practice Address - Country:US
Practice Address - Phone:646-207-9318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF350715-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily