Provider Demographics
NPI:1356427694
Name:HILTON HEALTH CARE PC
Entity type:Organization
Organization Name:HILTON HEALTH CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/CORPORATE SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:NILSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-392-9100
Mailing Address - Street 1:279 EAST AVENUE
Mailing Address - Street 2:HILTON HEALTH CARE PC
Mailing Address - City:HILTON
Mailing Address - State:NY
Mailing Address - Zip Code:14468-1333
Mailing Address - Country:US
Mailing Address - Phone:585-392-9100
Mailing Address - Fax:585-392-6292
Practice Address - Street 1:279 EAST AVENUE
Practice Address - Street 2:HILTON HEALTH CARE PC
Practice Address - City:HILTON
Practice Address - State:NY
Practice Address - Zip Code:14468
Practice Address - Country:US
Practice Address - Phone:585-392-9100
Practice Address - Fax:585-392-6292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-30
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01200724Medicaid
NY4447110001OtherMEDICARE DME
NY4447110001OtherMEDICARE DME