MEDICARE: MRS. CYNTHIA HAMILTON REGISTERED NURSE

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
1	163WS0200X	School Registered Nurse	542854-1	NY

General Provider Information

NPI Number	:	1093081218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CYNTHIA HAMILTON REGISTERED NURSE

Provider Business Mailing Address
First Line	:	5800 TILDEN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-4824
Country	:	US
Telephone Number	:	718-629-2307
Fax Number	:	717-629-6162

Provider Business Practice Location Address
First Line	:	5800 TILDEN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-4824
Country	:	US
Telephone Number	:	718-629-2307
Fax Number	:	717-629-6162

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2012
Last Update Date	:	04/02/2012

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