=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154890457
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BARBARA GAIL HILL
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/15/2018
-----------------------------------------------------
Last Update Date | 11/15/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 255 E 98TH ST
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11212-8817
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-881-1524
-----------------------------------------------------
Fax | 914-368-0335
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 255 E 98TH ST
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11212-8817
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-881-1524
-----------------------------------------------------
Fax | 914-368-0335
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 043303-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------