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General NPI Number Information
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NPI Number | 1366007742
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Entity Type | Individual
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Provider Name | SAMUEL GRANT HILBERT MD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2019
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 19 BRADHURST AVE STE 800S
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City | HAWTHORNE
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State | NY
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Zip | 10532-2198
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Country | US
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Telephone | 914-614-4270
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Fax |
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Provider Business Mailing Address
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Address Line | 19 SKYLINE DR OFC IN-J08
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City | HAWTHORNE
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State | NY
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Zip | 10532-2134
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Country | US
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Telephone | 914-493-7997
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Fax | 262-457-7432
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 316658
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 280406
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 316658-01
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License Number State | NY
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