STEPHEN R. HILLER, MD, PC
Medical Practice at Nesconset Hwy, Prt Jefferson Station, NY

License number
New York 112016
Category
Medical Practice
Type
Otolaryngology
Owner
Name: STEPHEN R. HILLER MD
Title: OWNER
Phone: (631) 928-7070
Address
Address
5360 Nesconset Hwy STE. D, Prt Jefferson Station, NY 11776
National Provider ID: 1659648483
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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STEPHEN R. HILLER, M.D., PC

5360 Nesconset Hwy, Port Jefferson Station, NY 11776

Industry:
Medical Doctor's Office
Doing business as:
Stephen R Hiller MD PC
Registration:
Feb 22, 1982
Phone:
(631) 928-7070 (Phone)
State ID:
752755
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Assistants:
Stephen R. Hiller (President, Otolaryngology, Medical Doctor, Owner),Laura Kruk (Receptionist Secretary),Pat Arianas (Office Manager),...

STEPHEN R. HILLER, M.D., PC

9 Roosevelt Ave, Port Jefferson Station, NY 11776

Status:
Inactive
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Aug 26, 1977
Inactive since:
Sep 30, 1981
State ID:
446239
Business type:
DOMESTIC PROFESSIONAL CORPORATION

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