Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 018082 | NY |
Y | 103TC0700X | Clinical Psychologist | 018082 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 018082 | NY |
NPI | 1043372378 |
---|---|
Provider Name | Dr. Harold Hamilton |
First Address | Newburgh, NY 12550-4303 |
Second Address | Newburgh, NY 12550-4303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 30/03/2016 |