Individual
MRS. MICHELLE HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 HUMPHREY DR, SYOSSET, NY 11791-4022
(516) 921-6503
Mailing address
47 HUMPHREY DR, SYOSSET, NY 11791-4022
(516) 921-7171
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
003780-1
NY
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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