Healthcare Provider Details

I. General information

NPI: 1164648382
Provider Name (Legal Business Name): CATHERINE ROOKS HILL FNP,NPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 03/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 BROAD ST BEHAVIORAL HEALTH SERVICES NORTH63
PLATTSBURGH NY
12901-3315
US

IV. Provider business mailing address

99 BART MERRILL RD
CADYVILLE NY
12918-3205
US

V. Phone/Fax

Practice location:
  • Phone: 518-563-8000
  • Fax:
Mailing address:
  • Phone: 518-897-2872
  • Fax: 518-897-2868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF332202
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF400468
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: