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NPI Code Detail

MEDICARE: LAURA E HAMILTON M.D.

MEDICARE:   LAURA E HAMILTON  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
1207Q00000XFamily Medicine Physician174341-01NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205928538
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA E HAMILTON M.D.
Provider Business Mailing Address
First Line : 1915 HARWOOD DR
Second Line :
City : LACONA
State : NY
Zip : 13083-3101
Country : US
Telephone Number : 315-387-2456
Fax Number :
Provider Business Practice Location Address
First Line : 9677 BREWERTON RD
Second Line :
City : BREWERTON
State : NY
Zip : 13029-8738
Country : US
Telephone Number : 315-668-3908
Fax Number : 315-668-3946
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 07/08/2007

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Directions to “ LAURA E HAMILTON M.D.” Practice Location

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