Provider Demographics
NPI:1326128646
Name:HILLEL, CLAUDE (PT)
Entity Type:Individual
Prefix:
First Name:CLAUDE
Middle Name:
Last Name:HILLEL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 E 18TH ST
Mailing Address - Street 2:4C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2819
Mailing Address - Country:US
Mailing Address - Phone:917-678-1586
Mailing Address - Fax:
Practice Address - Street 1:521 5TH AVE
Practice Address - Street 2:C/O EQUINOX FITNESS CLUB
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10175-0003
Practice Address - Country:US
Practice Address - Phone:212-692-9558
Practice Address - Fax:212-692-9262
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017912-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQC555QA561Medicare PIN