Provider Demographics
NPI:1396154720
Name:JOSEFSBERG, HILLARY (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:HILLARY
Middle Name:
Last Name:JOSEFSBERG
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11701 PARK LN S
Mailing Address - Street 2:APARTMENT D3J
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-1014
Mailing Address - Country:US
Mailing Address - Phone:718-517-0496
Mailing Address - Fax:
Practice Address - Street 1:11701 PARK LN S
Practice Address - Street 2:APARTMENT D3J
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-1014
Practice Address - Country:US
Practice Address - Phone:718-517-0496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY668865163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse