Individual
LARRY HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
176 N VILLAGE AVE, SUITE 1C, ROCKVILLE CENTRE, NY 11570-3800
(516) 594-1068
Mailing address
176 N VILLAGE AVE, SUITE 1C, ROCKVILLE CENTRE, NY 11570-3800
(516) 594-1068
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
213395
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02105200
—
NY
Enumeration date
11/17/2006
Last updated
11/05/2007
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