MEDICARE: MS. JOY YOLANDA 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
1	163WG0000X	General Practice Registered Nurse	420680	NY

General Provider Information

NPI Number	:	1992523732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOY YOLANDA HAMILTON

Provider Business Mailing Address
First Line	:	689 FORT WASHINGTON AVE APT 4K
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10040-3758
Country	:	US
Telephone Number	:	917-583-7104
Fax Number	:

Provider Business Practice Location Address
First Line	:	689 FORT WASHINGTON AVE APT 4K
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10040-3758
Country	:	US
Telephone Number	:	917-583-7104
Fax Number	:

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

Provider Enumeration Date	:	10/01/2024
Last Update Date	:	10/01/2024

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