Provider Demographics
NPI:1437105566
Name:FEDER, HILARY (MS)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:FEDER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 S BROADWAY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-6201
Mailing Address - Country:US
Mailing Address - Phone:914-965-9771
Mailing Address - Fax:914-965-4724
Practice Address - Street 1:503 S BROADWAY
Practice Address - Street 2:SUITE 210
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-3252
Practice Address - Country:US
Practice Address - Phone:914-965-9771
Practice Address - Fax:914-965-4724
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF333582363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner