Provider Demographics
NPI:1790227114
Name:BRAZELL, HILLARY M
Entity Type:Individual
Prefix:MISS
First Name:HILLARY
Middle Name:M
Last Name:BRAZELL
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 1:2919 MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-1298
Mailing Address - Country:US
Mailing Address - Phone:716-297-4444
Mailing Address - Fax:716-297-4111
Practice Address - Street 1:2919 MILITARY RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-1298
Practice Address - Country:US
Practice Address - Phone:716-297-4444
Practice Address - Fax:716-297-4111
Is Sole Proprietor?:No
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000048380237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist