Healthcare Provider Details

I. General information

NPI: 1396416541
Provider Name (Legal Business Name): HECTOR PINILLA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2021
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 S BROADWAY
YONKERS NY
10701-4006
US

IV. Provider business mailing address

7014 3RD AVE
BROOKLYN NY
11209-1307
US

V. Phone/Fax

Practice location:
  • Phone: 914-378-7000
  • Fax:
Mailing address:
  • Phone: 551-482-7313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberP110750
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number337870
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: