Healthcare Provider Details

I. General information

NPI: 1700850757
Provider Name (Legal Business Name): DOROTHY MARIAN HILL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 07/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 DOGWOOD LN
NEWBURGH NY
12550-2026
US

IV. Provider business mailing address

120 DOGWOOD LN
NEWBURGH NY
12550-2026
US

V. Phone/Fax

Practice location:
  • Phone: 845-565-8571
  • Fax: 845-562-8926
Mailing address:
  • Phone: 845-565-8571
  • Fax: 845-562-8926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number019394
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: