Provider Demographics
NPI:1679824452
Name:SPECTOR, HILLARY J
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:J
Last Name:SPECTOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16424 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-4232
Mailing Address - Country:US
Mailing Address - Phone:718-591-4093
Mailing Address - Fax:
Practice Address - Street 1:164-24 72ND AVENUE
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-4232
Practice Address - Country:US
Practice Address - Phone:718-591-4093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor