Provider Demographics
NPI:1760870422
Name:HILL, SADIE
Entity Type:Individual
Prefix:
First Name:SADIE
Middle Name:
Last Name:HILL
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 1:1230 WEBSTER AVE
Mailing Address - Street 2:APT 17A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-3313
Mailing Address - Country:US
Mailing Address - Phone:347-409-1729
Mailing Address - Fax:
Practice Address - Street 1:1034 E. 233 ST.
Practice Address - Street 2:SUITE 2
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466
Practice Address - Country:US
Practice Address - Phone:646-702-6965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency