Provider Demographics
NPI:1518416056
Name:HAMMER, SUSAN (MED)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:
Last Name:HAMMER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2973 BRENTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-4522
Mailing Address - Country:US
Mailing Address - Phone:516-404-1376
Mailing Address - Fax:516-679-5072
Practice Address - Street 1:2973 BRENTWOOD CT
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-4522
Practice Address - Country:US
Practice Address - Phone:516-404-1376
Practice Address - Fax:516-679-5072
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2641908912355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant