Provider Demographics
NPI:1821147760
Name:NAIMAN, HILLEL B (MD)
Entity Type:Individual
Prefix:
First Name:HILLEL
Middle Name:B
Last Name:NAIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BRIDLE RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1729
Mailing Address - Country:US
Mailing Address - Phone:845-362-1111
Mailing Address - Fax:845-362-1595
Practice Address - Street 1:6 BRIDLE RD
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1729
Practice Address - Country:US
Practice Address - Phone:845-362-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY164037207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY14E431Medicare ID - Type Unspecified