MEDICARE: MS. CLOVER ROSEMARIE HAMILTON DNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	407923	NY
2	363LF0000X	Family Nurse Practitioner	440739	NY

General Provider Information

NPI Number	:	1679818900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CLOVER ROSEMARIE HAMILTON DNP

Provider Business Mailing Address
First Line	:	22 FALLKILL AVE
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12601-2104
Country	:	US
Telephone Number	:	914-489-4155
Fax Number	:

Provider Business Practice Location Address
First Line	:	2094 ALBANY POST RD
Second Line	:
City	:	MONTROSE
State	:	NY
Zip	:	10548-1454
Country	:	US
Telephone Number	:	914-737-4400
Fax Number	:	914-788-4385

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

Provider Enumeration Date	:	11/27/2012
Last Update Date	:	12/28/2025

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