Individual
MR. DAVID NAGEL HAMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4101 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6600
(315) 637-7878
(315) 637-7870
Mailing address
4101 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6600
(315) 637-7878
(315) 637-7870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016022
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03522534
—
NY
Enumeration date
09/23/2012
Last updated
02/18/2013
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