Provider Demographics
NPI:1669268579
Name:HAMILTON, REBECCA A (BCD)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:A
Last Name:HAMILTON
Suffix:
Gender:
Credentials:BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 MCCOLLUM ST
Mailing Address - Street 2:1
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-2938
Mailing Address - Country:US
Mailing Address - Phone:716-940-5463
Mailing Address - Fax:716-940-5463
Practice Address - Street 1:32 MCCOLLUM ST
Practice Address - Street 2:1
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-2938
Practice Address - Country:US
Practice Address - Phone:716-940-5463
Practice Address - Fax:716-940-5463
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY32503374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula