Individual
JONATHAN HAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
87 UPTOWN RD APT F105, ITHACA, NY 14850-6469
(607) 339-6227
Mailing address
87 UPTOWN RD APT F105, ITHACA, NY 14850-6469
(607) 339-6227
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012604
NY
Other
Enumeration date
08/20/2014
Last updated
12/06/2014
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