Provider Demographics
NPI:1841388147
Name:HAMILTON PODIATRY P C
Entity Type:Organization
Organization Name:HAMILTON PODIATRY P C
Other - Org Name:HAMILTON FOOT AND ANKLE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:SPIELFOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-680-6276
Mailing Address - Street 1:369 93RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-6901
Mailing Address - Country:US
Mailing Address - Phone:718-680-6276
Mailing Address - Fax:718-680-2296
Practice Address - Street 1:369 93RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-6901
Practice Address - Country:US
Practice Address - Phone:718-680-6276
Practice Address - Fax:718-680-2296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004601213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01190183Medicaid
=========OtherTIN
NYU17194Medicare UPIN
NY4290690001Medicare NSC
NY01190183Medicaid