Provider Demographics
NPI:1689666562
Name:HAMEL, BARBARA E (PT)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:E
Last Name:HAMEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:E
Other - Last Name:BEVIS-HAMEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:20 MT MCGREGOR RD
Mailing Address - Street 2:
Mailing Address - City:GANSEVOORT
Mailing Address - State:NY
Mailing Address - Zip Code:12831-1202
Mailing Address - Country:US
Mailing Address - Phone:518-581-1414
Mailing Address - Fax:
Practice Address - Street 1:4 MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:NY
Practice Address - Zip Code:12834-1343
Practice Address - Country:US
Practice Address - Phone:518-692-3311
Practice Address - Fax:518-692-8153
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011645225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7811468OtherAETNA
NY71933OtherGHI (HMO)
NYQP0411OtherEMPIRE BC/BS
NY361145OtherMVP
NY6601303OtherGHI (PPO)
NY000406287002OtherCOMMUNITY BLUE
NY10066844-D465OtherCDPHP
NY10066844-D465OtherCDPHP
NY7811468OtherAETNA