1689666562 NPI number — MRS. BARBARA E HAMEL PT

Table of content: MRS. BARBARA E HAMEL PT (NPI 1689666562)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689666562 NPI number — MRS. BARBARA E HAMEL PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMEL
Provider First Name:
BARBARA
Provider Middle Name:
E
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BEVIS-HAMEL
Provider Other First Name:
BARBARA
Provider Other Middle Name:
E
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1689666562
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20 MT MCGREGOR RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GANSEVOORT
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12831-1202
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-581-1414
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENWICH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12834-1343
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-692-3311
Provider Business Practice Location Address Fax Number:
518-692-8153
Provider Enumeration Date:
08/17/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  011645 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7811468 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 71933 . This is a "GHI (HMO)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: QP0411 . This is a "EMPIRE BC/BS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 361145 . This is a "MVP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 6601303 . This is a "GHI (PPO)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000406287002 . This is a "COMMUNITY BLUE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 10066844-D465 . This is a "CDPHP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".