Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 265078 | NY |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | A78847 | CA |
N | 2081P2900X | Pain Medicine | A78847 | CA |
NPI | 1164445938 |
---|---|
Provider Name | Joy M. Hamilton |
First Address | Brooklyn, NY 11203-2019 |
Second Address | Brooklyn, NY 11203-2019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 10/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H56374 | (02) | CA |