Provider Demographics
NPI:1578591319
Name:HAMMERMAN, CURTIS S (MD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:S
Last Name:HAMMERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 WESTAGE BUSINESS CTR DR
Mailing Address - Street 2:SUITE 280
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2260
Mailing Address - Country:US
Mailing Address - Phone:800-835-3723
Mailing Address - Fax:
Practice Address - Street 1:300 WESTAGE BUSINESS CTR DR
Practice Address - Street 2:SUITE 280
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2260
Practice Address - Country:US
Practice Address - Phone:800-835-3723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR8E952085R0202X
NY2543432085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100182260BMedicaid
MO203177423Medicaid
26614OtherMO BLUE
KS100326180BMedicaid
154678OtherHEALTHLINK
KS100326180BMedicaid
CABC136UMedicare PIN
CATG256BMedicare PIN
154678OtherHEALTHLINK
MOP00234974Medicare PIN
D50402Medicare UPIN
CABC136RMedicare PIN
CABC136PMedicare PIN
CABC136QMedicare PIN
26614OtherMO BLUE
MO4013823Medicare PIN