Individual
LUIS U HAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
10401 CORONA AVE, CORONA, NY 11368-2923
(718) 271-2020
Mailing address
10401 CORONA AVE, CORONA, NY 11368-2923
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006015-1
NY
Other
Enumeration date
11/24/2007
Last updated
11/24/2007
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