Justine M Hilsdorf, NP -C
Nurse Practitioner, Family in Ithaca, NY. Individual provider (NPI-1).
NPI number1154401263
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1154401263
- Entity type
- Individual (NPI-1)
- Name
- Justine M Hilsdorf
- Credential
- NP -C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F3003741 | NY | Yes |
Practice location
209 W State StIthaca, NY 14850-5429
Phone 607-257-5263 · Fax 607-216-0902
Mailing address
209 W State StIthaca, NY 14850-5429
Phone 607-257-5263 · Fax 607-216-0902
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