MEDICARE: MS. JENNIFER HILL PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	009515	NY

General Provider Information

NPI Number	:	1124022520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER HILL PA

Provider Business Mailing Address
First Line	:	186 JORALEMON ST
Second Line	:	8TH FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4356
Country	:	US
Telephone Number	:	718-858-3263
Fax Number	:	718-858-5095

Provider Business Practice Location Address
First Line	:	186 JORALEMON ST
Second Line	:	8TH FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4356
Country	:	US
Telephone Number	:	718-858-3263
Fax Number	:	718-858-5095

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	04/15/2021

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