Provider Demographics
NPI:1619911021
Name:HAMMERMAN, HILLEL SANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:HILLEL
Middle Name:SANDER
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 1:210 E 73RD ST
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4395
Mailing Address - Country:US
Mailing Address - Phone:212-288-1030
Mailing Address - Fax:212-288-1184
Practice Address - Street 1:210 E 73RD ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4395
Practice Address - Country:US
Practice Address - Phone:212-288-1030
Practice Address - Fax:212-288-1184
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2012-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153188207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00844344Medicaid
NY89A482Medicare ID - Type Unspecified
NY00844344Medicaid