Provider Demographics
NPI:1083934087
Name:HAMMERMAN, KAREN LAURA (MD)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LAURA
Last Name:HAMMERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:LAURA
Other - Last Name:ZIMMERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2408 OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3565
Mailing Address - Country:US
Mailing Address - Phone:718-332-2999
Mailing Address - Fax:
Practice Address - Street 1:2408 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3565
Practice Address - Country:US
Practice Address - Phone:718-332-2999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263285207N00000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology