Healthcare Provider Details

I. General information

NPI: 1558634949
Provider Name (Legal Business Name): ASHLEY V HINTON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2012
Last Update Date: 02/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 FULTON AVE
HEMPSTEAD NY
11550-3718
US

IV. Provider business mailing address

457 RUTLAND ST
WESTBURY NY
11590-2312
US

V. Phone/Fax

Practice location:
  • Phone: 516-485-5710
  • Fax: 516-485-4225
Mailing address:
  • Phone: 516-307-8114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0854311
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: