MEDICARE: DR. JOHN T HAMMER M.D.

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	207R00000X	Internal Medicine Physician	155011-1	NY

General Provider Information

NPI Number	:	1184731754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN T HAMMER M.D.

Provider Business Mailing Address
First Line	:	RTE 9 & GRAYMOOR
Second Line	:	ST. CHRISTOPHER'S INN
City	:	GARRISON
State	:	NY
Zip	:	10524
Country	:	US
Telephone Number	:	845-424-3616
Fax Number	:	845-424-3598

Provider Business Practice Location Address
First Line	:	RTE 9 & GRAYMOOR
Second Line	:	ST. CHRISTOPHER'S INN
City	:	GARRISON
State	:	NY
Zip	:	10524
Country	:	US
Telephone Number	:	845-424-3616
Fax Number	:	845-424-3598

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

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	07/08/2007

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