Provider Demographics
NPI:1417080862
Name:NIERENBERG, HILARY MEREDITH (NP)
Entity Type:Individual
Prefix:MS
First Name:HILARY
Middle Name:MEREDITH
Last Name:NIERENBERG
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 1:61 OAK RD
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-2310
Mailing Address - Country:US
Mailing Address - Phone:914-945-0903
Mailing Address - Fax:
Practice Address - Street 1:COLUMBIA UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:161 FORT WASHINGTON AVENUE, 5 IRVING
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-342-4743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY402001-1163W00000X
NYF302241-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0887G1Medicare ID - Type Unspecified