Provider Demographics
NPI:1992350961
Name:HILLTOWN HEALTHCARE NP FAMILY PLLC
Entity type:Organization
Organization Name:HILLTOWN HEALTHCARE NP FAMILY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:518-872-2738
Mailing Address - Street 1:1705 HELDERBERG TRAIL
Mailing Address - Street 2:
Mailing Address - City:BERNE
Mailing Address - State:NY
Mailing Address - Zip Code:12023
Mailing Address - Country:US
Mailing Address - Phone:518-872-0009
Mailing Address - Fax:518-874-0961
Practice Address - Street 1:1705 HELDERBERG TRAIL
Practice Address - Street 2:
Practice Address - City:BERNE
Practice Address - State:NY
Practice Address - Zip Code:12023
Practice Address - Country:US
Practice Address - Phone:518-872-0009
Practice Address - Fax:518-874-0961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-07
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty