Provider Demographics
NPI:1164633723
Name:HILLS, SUSANNAH ELDRIDGE (MD)
Entity type:Individual
Prefix:
First Name:SUSANNAH
Middle Name:ELDRIDGE
Last Name:HILLS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:180 FORT WASHINGTON AVE FL 8
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3722
Mailing Address - Country:US
Mailing Address - Phone:212-305-8555
Mailing Address - Fax:212-305-3975
Practice Address - Street 1:3959 BROADWAY
Practice Address - Street 2:5TH FLOOR RM 501N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-8933
Practice Address - Fax:212-342-6401
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY286767207YP0228X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology