Provider Demographics
NPI:1871586313
Name:HILL, RICHARD G (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:G
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 MONTAUK HWY
Mailing Address - Street 2:
Mailing Address - City:W SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11796-1801
Mailing Address - Country:US
Mailing Address - Phone:631-589-6727
Mailing Address - Fax:631-244-2866
Practice Address - Street 1:1 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:W SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11796-1801
Practice Address - Country:US
Practice Address - Phone:631-589-6727
Practice Address - Fax:631-244-2866
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0961482080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00663034Medicaid
NY00663034Medicaid