Provider Demographics
NPI:1851484034
Name:HAMARMAN, STEPHANIE (MD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:HAMARMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 RIVERSIDE BLVD
Mailing Address - Street 2:#30A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10069-0901
Mailing Address - Country:US
Mailing Address - Phone:212-579-3038
Mailing Address - Fax:
Practice Address - Street 1:200 RIVERSIDE BLVD
Practice Address - Street 2:#30A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10069-0901
Practice Address - Country:US
Practice Address - Phone:212-579-3038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2166592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ019669Medicaid
NJG21121Medicare UPIN
NJ019669Medicaid