Healthcare Provider Details

I. General information

NPI: 1356427694
Provider Name (Legal Business Name): HILTON HEALTH CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2006
Last Update Date: 08/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 EAST AVENUE HILTON HEALTH CARE PC
HILTON NY
14468
US

IV. Provider business mailing address

279 EAST AVENUE HILTON HEALTH CARE PC
HILTON NY
14468-1333
US

V. Phone/Fax

Practice location:
  • Phone: 585-392-9100
  • Fax: 585-392-6292
Mailing address:
  • Phone: 585-392-9100
  • Fax: 585-392-6292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NILSA MARTINEZ
Title or Position: MD/CORPORATE SECRETARY
Credential: MD
Phone: 585-392-9100