Provider Demographics
NPI:1205721776
Name:HILLCREST FAMILY HEALTH NP SERVICES PLLC
Entity type:Organization
Organization Name:HILLCREST FAMILY HEALTH NP SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAVETS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:917-868-0006
Mailing Address - Street 1:8206 168TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-1327
Mailing Address - Country:US
Mailing Address - Phone:917-868-0006
Mailing Address - Fax:
Practice Address - Street 1:8206 168TH ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-1327
Practice Address - Country:US
Practice Address - Phone:929-333-2187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty