Healthcare Provider Details

I. General information

NPI: 1023384120
Provider Name (Legal Business Name): YONATAN J HILLMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2012
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 DAVIS AVE
WHITE PLAINS NY
10601-4602
US

IV. Provider business mailing address

30 STEVENS ST STE D
NORWALK CT
06850-3859
US

V. Phone/Fax

Practice location:
  • Phone: 914-681-0600
  • Fax:
Mailing address:
  • Phone: 203-852-3455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number76711
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number274949
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number64471
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: