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NPI Code Detail

MEDICARE: ZACHERY HAMMOND

MEDICARE: ZACHERY HAMMOND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorP108438NY
2101YM0800XMental Health Counselor013397NY

General Provider Information

NPI Number : 1376211672
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHERY HAMMOND
Provider Business Mailing Address
First Line : 100 KINGS HWY S
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-5504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 PINEWILD DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14606-4200
Country : US
Telephone Number : 585-368-6718
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2021
Last Update Date : 12/05/2025

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Directions to “ ZACHERY HAMMOND ” Practice Location

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