Provider Demographics
NPI:1770896649
Name:BUDOFF, HILLARIE RACHEL (MD)
Entity type:Individual
Prefix:DR
First Name:HILLARIE
Middle Name:RACHEL
Last Name:BUDOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1641 3RD AVE
Mailing Address - Street 2:APT. 30A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3623
Mailing Address - Country:US
Mailing Address - Phone:646-391-6499
Mailing Address - Fax:
Practice Address - Street 1:1641 3RD AVE
Practice Address - Street 2:APT. 30A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3623
Practice Address - Country:US
Practice Address - Phone:646-391-6499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY25709712084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry