Provider Demographics
NPI:1457822876
Name:HAMMOND, JOSH ROBERT
Entity Type:Individual
Prefix:MR
First Name:JOSH
Middle Name:ROBERT
Last Name:HAMMOND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1198
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12569-7868
Mailing Address - Country:US
Mailing Address - Phone:845-635-4555
Mailing Address - Fax:845-635-9555
Practice Address - Street 1:1335 ROUTE 44 SUITE 3B
Practice Address - Street 2:
Practice Address - City:PLEASANT VALLEY
Practice Address - State:NY
Practice Address - Zip Code:12569-1256
Practice Address - Country:US
Practice Address - Phone:845-635-4555
Practice Address - Fax:845-635-9555
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-11
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043928-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist