MEDICARE: MRS. BERNADETTE SAINT HILAIRE NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	F305832-1	NY

General Provider Information

NPI Number	:	1336426246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BERNADETTE SAINT HILAIRE NP

Provider Business Mailing Address
First Line	:	1416 MADISON ST
Second Line	:
City	:	ELMONT
State	:	NY
Zip	:	11003-1308
Country	:	US
Telephone Number	:	516-616-5449
Fax Number	:	516-616-5449

Provider Business Practice Location Address
First Line	:	1416 MADISON ST
Second Line	:
City	:	ELMONT
State	:	NY
Zip	:	11003-1308
Country	:	US
Telephone Number	:	516-616-5449
Fax Number	:	516-616-5449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2011
Last Update Date	:	11/05/2011

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