Provider Demographics
NPI:1003902263
Name:HAMMOND, VALERIE JEAN (RD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:JEAN
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9900 GULF ROAD
Mailing Address - Street 2:
Mailing Address - City:PAINTED POST
Mailing Address - State:NY
Mailing Address - Zip Code:14870
Mailing Address - Country:US
Mailing Address - Phone:607-962-6003
Mailing Address - Fax:
Practice Address - Street 1:9768 LIBERTY DRIVE
Practice Address - Street 2:
Practice Address - City:PAINTED POST
Practice Address - State:NY
Practice Address - Zip Code:14870
Practice Address - Country:US
Practice Address - Phone:607-937-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
968718133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered