Healthcare Provider Details

I. General information

NPI: 1700463015
Provider Name (Legal Business Name): MARGARET K. HILL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 03/24/2021
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 W BROADWAY APT 3R
LONG BEACH NY
11561-3006
US

IV. Provider business mailing address

560 W BROADWAY APT 3R
LONG BEACH NY
11561-3006
US

V. Phone/Fax

Practice location:
  • Phone: 347-756-2376
  • Fax:
Mailing address:
  • Phone: 347-756-2376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARGARET K HILL
Title or Position: SPEECH/LANGUAGE PATHOLOGIST
Credential: MSMEDCCC/SLPTSSLD-BE
Phone: 347-756-2376