Individual
WALID HAMMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 MITCHELL AVE, SUITE 204, BINGHAMTON, NY 13903-1674
(607) 762-2333
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-2209
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
135044
NY
208600000X
Surgery Physician
135044
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00371577
—
NY
Enumeration date
11/10/2005
Last updated
11/19/2011
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