Provider Demographics
NPI:1376599571
Name:HAMLET, WARREN (DPT, ATC, CSCS)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:
Last Name:HAMLET
Suffix:
Gender:M
Credentials:DPT, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 W 54TH ST STE 801
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-5597
Mailing Address - Country:US
Mailing Address - Phone:212-320-2318
Mailing Address - Fax:212-320-2319
Practice Address - Street 1:244 W 54TH ST STE 801
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-5597
Practice Address - Country:US
Practice Address - Phone:212-320-2318
Practice Address - Fax:212-320-2319
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2023-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY24343225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ01V11Medicare ID - Type UnspecifiedEMPIRE MEDICARE