Provider Demographics
NPI:1588629125
Name:STOPPLER ZIMMER, HILLARY BETH (ATR)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:BETH
Last Name:STOPPLER ZIMMER
Suffix:
Gender:F
Credentials:ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SUNRISE PLAZA
Mailing Address - Street 2:SUITE #202
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580
Mailing Address - Country:US
Mailing Address - Phone:516-825-5005
Mailing Address - Fax:516-825-5778
Practice Address - Street 1:5 SUNRISE PLAZA
Practice Address - Street 2:SUITE 202
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580
Practice Address - Country:US
Practice Address - Phone:516-825-5005
Practice Address - Fax:516-825-5778
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000196221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist