HILLARY ELISE FAIRBANKS


Address: 774 Saratoga Ave, Brooklyn, NY 11212-4439
Phone: 7182577208

HILLARY ELISE FAIRBANKS (NPI# 1831641893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831641893
Entity Type Individual
Full Name HILLARY ELISE FAIRBANKS
Credential PNP
Practice Address 774 Saratoga Ave
Brooklyn
NY 11212-4439
Practice Telephone 7182577208
Practice Fax Number 7185667045
Mailing Telephone 7182577208
Mailing Fax Number 7185667045
Enumeration Date 2016-10-25
Last Update Date 2017-01-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
382706 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 774 SARATOGA AVE
City BROOKLYN
State NY
Zip Code 11212-4439

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1790262467 Xiao Xiong You Student in an Organized Health Care Education/Training Program 1 Brookdale Plaza, Department of Adult Psychiatry, Brooklyn, NY 11212 2018-07-25
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1699298026 Alexander Andreev Student in an Organized Health Care Education/Training Program 1 Brookdale Plaza, Brooklyn, Brooklyn, NY 11212 2017-07-18
1598288011 Naga Venkata Divya Challa Student in an Organized Health Care Education/Training Program One Brookdale Plaza, 8 Chc Room 801-5, Department of Pediatrics, Brookdale University Hospital, Brooklyn, NY 11212 2017-07-18
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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1437763877 Tiffany Yu Nurse Practitioner 1746 W 12th St, Brooklyn, NY 11223-1101 2020-09-02
1083246391 Moriah Kendall Nurse Practitioner 949 48th St, Brooklyn, NY 11219-2919 2020-02-05
1164806287 Tayo Adjapon-yamoah Nurse Practitioner Sunset Park Children's Health At Nyu Langone, 5610 2nd Ave, Brooklyn, NY 11220 2015-07-18
1306233408 Miriam Gordon Pediatric Np PC Nurse Practitioner 6010 Bay Pkwy Fl 9, Brooklyn, NY 11204-6079 2015-04-16
1972888618 Betty P.l. Celestin Nurse Practitioner 15 Metrotech Center 11th Floor, Empire State Home Care Services Inc C/o Bridget O'conne, Brooklyn, NY 11201 2011-10-13
1184930406 Claudia Senatore Nurse Practitioner 825 4th Ave Rm 254, Brooklyn, NY 11232-1701 2010-08-24
1558687731 Evelyn Sarina Glaser Nurse Practitioner 309 47th St, Brooklyn, NY 11220-1111 2010-04-13
1689808958 Simone T Phillips Nurse Practitioner 180 Livingston Street, Suite 304, Brooklyn, NY 11201 2009-05-14
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Competitor

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City BROOKLYN
Zip Code 11212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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