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NPI Code Detail

MEDICARE: SAMANTHA MARIE HAMILTON

MEDICARE: SAMANTHA MARIE HAMILTON
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1710620448
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA MARIE HAMILTON
Provider Business Mailing Address
First Line : 2200 POWELL AVE APT F21
Second Line :
City : BRONX
State : NY
Zip : 10462-5253
Country : US
Telephone Number : 917-557-9539
Fax Number :
Provider Business Practice Location Address
First Line : 579 COURTLANDT AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-5013
Country : US
Telephone Number : 718-485-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2022
Last Update Date : 04/20/2022

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Directions to “ SAMANTHA MARIE HAMILTON ” Practice Location

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