Provider Demographics
NPI:1508538133
Name:HAMMERS AND RICCIO IMAGING, PLLC
Entity Type:Organization
Organization Name:HAMMERS AND RICCIO IMAGING, PLLC
Other - Org Name:HAMMERS AND RICCIO IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-773-8959
Mailing Address - Street 1:2 CHURCH ST S STE 110
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1717
Mailing Address - Country:US
Mailing Address - Phone:203-773-8959
Mailing Address - Fax:203-773-8962
Practice Address - Street 1:2 CHURCH ST S STE 110
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1717
Practice Address - Country:US
Practice Address - Phone:203-773-8959
Practice Address - Fax:203-773-8962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology