| Doctor Name: | MISS MELISSA HILLER |
| NPI Number: | 1003806712 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 1045399 |
| Business Practice Address: | 951 Roanoke Ave Riverhead, NY - 119012724 |
| Business Phone Number: | 6317277773 |
| Business Fax Number: | 6317277832 |
| Mailing Address: | 951 Roanoke Ave, RIVERHEAD |
| State: | NY |
| Postal Code: | 119012724 |
| Phone Number: | 6317277773 |
| Fax Number: | 6317277832 |
| NPI Enumeration Date: | 10/24/2005 |
| NPI Last Update Date: | 08/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1045399 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |