Provider Demographics
NPI:1417218355
Name:HAMMER-TORN, BEILU
Entity Type:Individual
Prefix:
First Name:BEILU
Middle Name:
Last Name:HAMMER-TORN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5502 14TH AVE
Mailing Address - Street 2:B2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4270
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5502 14TH AVE
Practice Address - Street 2:B2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4270
Practice Address - Country:US
Practice Address - Phone:718-871-1982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist