Individual
JACOB SEAMUS KAMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4299 HYLAN BLVD, STATEN ISLAND, NY 10312-6527
(718) 984-7616
(718) 984-8584
Mailing address
4299 HYLAN BLVD, STATEN ISLAND, NY 10312-6527
(718) 984-7616
(718) 984-8584
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101267976
VA
207W00000X
Ophthalmology Physician
Primary
346445
NY
208D00000X
General Practice Physician
Primary
0101267976
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2018
Last updated
08/04/2026
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