Provider Demographics
NPI:1982390902
Name:HILTON, AMY C (CASAC-AC)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:C
Last Name:HILTON
Suffix:
Gender:F
Credentials:CASAC-AC
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:C
Other - Last Name:HILTON-MCKEAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CASAC-AC
Mailing Address - Street 1:87 E UTICA ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-2757
Mailing Address - Country:US
Mailing Address - Phone:315-297-6655
Mailing Address - Fax:
Practice Address - Street 1:555 E GENESEE ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202-2118
Practice Address - Country:US
Practice Address - Phone:315-474-5506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY29011101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)