Provider Demographics
NPI:1609130111
Name:HILLMAN, ALIZA (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ALIZA
Middle Name:
Last Name:HILLMAN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:ALIZA
Other - Middle Name:
Other - Last Name:WOLF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:90 LAUREL HILL TER
Mailing Address - Street 2:APT 1L
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-1619
Mailing Address - Country:US
Mailing Address - Phone:908-425-6250
Mailing Address - Fax:
Practice Address - Street 1:90 LAUREL HILL TER
Practice Address - Street 2:APT 1L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-1619
Practice Address - Country:US
Practice Address - Phone:908-425-6250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017468225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist