Provider Demographics
NPI:1841596269
Name:HAMILL, JAMES (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:HAMILL
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:MR
Other - First Name:JAMES
Other - Middle Name:
Other - Last Name:HAMILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:605 SYLVAN AVE
Mailing Address - Street 2:
Mailing Address - City:BAYPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11705-1540
Mailing Address - Country:US
Mailing Address - Phone:631-924-4411
Mailing Address - Fax:631-924-4454
Practice Address - Street 1:605 SYLVAN AVE
Practice Address - Street 2:
Practice Address - City:BAYPORT
Practice Address - State:NY
Practice Address - Zip Code:11705-1540
Practice Address - Country:US
Practice Address - Phone:631-924-4411
Practice Address - Fax:631-924-4454
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6968542163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse