Provider Demographics
NPI:1801218961
Name:HAMILTON, SAONJIE FAYOLA (CNM)
Entity Type:Individual
Prefix:
First Name:SAONJIE
Middle Name:FAYOLA
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 LENOX RD APT 510
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-2156
Mailing Address - Country:US
Mailing Address - Phone:347-435-0552
Mailing Address - Fax:
Practice Address - Street 1:109 MONTAGUE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3437
Practice Address - Country:US
Practice Address - Phone:718-400-8339
Practice Address - Fax:718-576-3434
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-09
Last Update Date:2022-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF001585-1176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife