Provider Demographics
NPI:1699956698
Name:HILL, JUNE YVETTE
Entity type:Individual
Prefix:MS
First Name:JUNE
Middle Name:YVETTE
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 W 145TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039-3031
Mailing Address - Country:US
Mailing Address - Phone:212-939-0941
Mailing Address - Fax:212-939-0945
Practice Address - Street 1:320 W 145TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-3031
Practice Address - Country:US
Practice Address - Phone:212-939-0941
Practice Address - Fax:212-939-0945
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039415183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist