Provider Demographics
NPI:1760123939
Name:FOSTER, HILARY (BC-HIS)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX C
Mailing Address - Street 2:
Mailing Address - City:UNADILLA
Mailing Address - State:NY
Mailing Address - Zip Code:13849-0703
Mailing Address - Country:US
Mailing Address - Phone:607-369-3802
Mailing Address - Fax:607-369-5802
Practice Address - Street 1:194 MAIN STREET
Practice Address - Street 2:
Practice Address - City:UNADILLA
Practice Address - State:NY
Practice Address - Zip Code:13849
Practice Address - Country:US
Practice Address - Phone:607-369-3802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-04
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000050440237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist