Provider Demographics
NPI:1184863094
Name:HILTON, ERIC B (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:B
Last Name:HILTON
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 DELAWARE ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-2908
Mailing Address - Country:US
Mailing Address - Phone:718-351-1032
Mailing Address - Fax:718-351-1032
Practice Address - Street 1:84 DELAWARE ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-2908
Practice Address - Country:US
Practice Address - Phone:718-351-1032
Practice Address - Fax:718-351-1032
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010694-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics