Provider Demographics
NPI:1922093111
Name:HILL, ALVIN B (MD)
Entity Type:Individual
Prefix:MR
First Name:ALVIN
Middle Name:B
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3863 E TREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-2421
Mailing Address - Country:US
Mailing Address - Phone:718-829-4620
Mailing Address - Fax:718-892-1905
Practice Address - Street 1:3863 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-2421
Practice Address - Country:US
Practice Address - Phone:718-829-4620
Practice Address - Fax:718-892-1905
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY770871207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY374511Medicare ID - Type Unspecified
NYCO9342Medicare UPIN