Provider Demographics
NPI:1902918394
Name:HILL, A. ROSS (MD)
Entity type:Individual
Prefix:
First Name:A.
Middle Name:ROSS
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:27 PROSPECT PARK W
Mailing Address - Street 2:APT 3A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-1706
Mailing Address - Country:US
Mailing Address - Phone:917-760-0261
Mailing Address - Fax:718-270-1733
Practice Address - Street 1:450 CLARKSON AVE
Practice Address - Street 2:SUNY DOWNSTATE MEDICAL CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2056
Practice Address - Country:US
Practice Address - Phone:917-760-0261
Practice Address - Fax:718-270-1733
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY158070207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA62627Medicare UPIN