MEDICARE: ROSALIND HAMPTON

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	164W00000X	Licensed Practical Nurse	180597	NY

General Provider Information

NPI Number	:	1881031250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSALIND HAMPTON

Provider Business Mailing Address
First Line	:	150 MINNESOTA AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14214-1407
Country	:	US
Telephone Number	:	716-715-3156
Fax Number	:

Provider Business Practice Location Address
First Line	:	76 ORANGE ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14204-1219
Country	:	US
Telephone Number	:	716-715-3156
Fax Number	:

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

Provider Enumeration Date	:	05/25/2013
Last Update Date	:	05/25/2013

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Directions to “ ROSALIND HAMPTON ” Practice Location

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