Healthcare Provider Details

I. General information

NPI: 1255466280
Provider Name (Legal Business Name): TIMOTHY PATRICK HILBERT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E 34TH ST BLOOD BANK, RRG-17
NEW YORK NY
10016-4901
US

IV. Provider business mailing address

400 E 34TH ST BLOOD BANK, RRG-17
NEW YORK NY
10016-4901
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-5443
  • Fax: 212-263-7906
Mailing address:
  • Phone: 212-263-5443
  • Fax: 212-263-7906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number218627-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: