Individual
DR. GLENN S. HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 PARK AVE, SUITE 1C, NEW YORK, NY 10128-1202
(212) 427-9550
Mailing address
1100 PARK AVE, SUITE 1C, NEW YORK, NY 10128-1202
(212) 427-9862
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
106623-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000147140
BLUE CROSS PROVIDER NUMBE
NY
01
—
0038562
GHI PROVIDER NUMBER
NY
05
—
00541819
—
NY
01
—
165959
ELDER PLAN PROVIDER NUMBE
NY
01
—
1C0346
HEALTHNET PROVIDER NUMBER
NY
01
—
NS534
OXFORD PROVIDER NUMBER
NY
Enumeration date
05/17/2006
Last updated
03/21/2011
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