Provider Demographics
NPI:1699851014
Name:RONNER, HILARY J (MD)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:J
Last Name:RONNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 E 79TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0244
Mailing Address - Country:US
Mailing Address - Phone:212-935-7272
Mailing Address - Fax:212-249-7630
Practice Address - Street 1:66 E 79TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075
Practice Address - Country:US
Practice Address - Phone:212-935-7272
Practice Address - Fax:212-249-7360
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY142589207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
32D701Medicare ID - Type Unspecified