Provider Demographics
NPI:1649368887
Name:HAMMONDS, ROY G (RPA-C)
Entity type:Individual
Prefix:
First Name:ROY
Middle Name:G
Last Name:HAMMONDS
Suffix:
Gender:M
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2 CROSFIELD AVE
Mailing Address - Street 2:STE 218
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2221
Mailing Address - Country:US
Mailing Address - Phone:845-353-5600
Mailing Address - Fax:845-353-3474
Practice Address - Street 1:2 CROSFIELD AVENUE
Practice Address - Street 2:SUITE 318
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994
Practice Address - Country:US
Practice Address - Phone:845-353-5600
Practice Address - Fax:845-689-9107
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY003412207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine