Provider Demographics
NPI:1720233695
Name:AMY- MARGARET HAMILTON
Entity Type:Organization
Organization Name:AMY- MARGARET HAMILTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:585-213-4088
Mailing Address - Street 1:415 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14572-1023
Mailing Address - Country:US
Mailing Address - Phone:585-213-4088
Mailing Address - Fax:
Practice Address - Street 1:415 2ND AVE
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:NY
Practice Address - Zip Code:14572-1023
Practice Address - Country:US
Practice Address - Phone:585-213-4088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244519251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health