Provider Demographics
NPI:1841461928
Name:HILBORN, REBECCA MAE (RPH)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:MAE
Last Name:HILBORN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 DENISON PKWY W
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-2517
Mailing Address - Country:US
Mailing Address - Phone:607-936-3529
Mailing Address - Fax:
Practice Address - Street 1:80 DENISON PKWY W
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-2517
Practice Address - Country:US
Practice Address - Phone:607-936-3529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043711183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist