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NPI Code Detail

MEDICARE: DR. MARC RICHARD HILAIRE M.D.

MEDICARE:  DR. MARC RICHARD HILAIRE  M.D.
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
1207R00000XInternal Medicine Physician224855NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902998255
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARC RICHARD HILAIRE M.D.
Provider Business Mailing Address
First Line : 5800 3RD AVE
Second Line : MANAGED CARE DEPARTMENT
City : BROOKLYN
State : NY
Zip : 11220-3702
Country : US
Telephone Number : 718-630-7477
Fax Number : 718-630-7437
Provider Business Practice Location Address
First Line : 3414 CHURCH AVE
Second Line : CARRIBEAN AMERICAN FAMILY HEALTH CENTER
City : BROOKLYN
State : NY
Zip : 11203-2714
Country : US
Telephone Number : 718-940-9425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 07/08/2007

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