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NPI Code Detail

MEDICARE: HAMILTON MEDICAL PLAZA PC

MEDICARE: HAMILTON MEDICAL PLAZA PC
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
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1346775350
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAMILTON MEDICAL PLAZA PC
Provider Business Mailing Address
First Line : 1865 AMSTERDAM AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10031-1716
Country : US
Telephone Number : 718-215-8280
Fax Number : 718-744-2842
Provider Business Practice Location Address
First Line : 820 SAINT ANNS AVE
Second Line :
City : BRONX
State : NY
Zip : 10456-7885
Country : US
Telephone Number : 718-215-8280
Fax Number : 718-744-2842
Authorized Official
Title or Position : OWNER
Name : DR. JEAN YVES DASTAIN
Credential : MD
Telephone Number : 718-215-8280
Provider Enumeration Date : 04/27/2017
Last Update Date : 04/27/2017

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Directions to “HAMILTON MEDICAL PLAZA PC ” Practice Location

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