Individual
DR. JOHN ROBERT HAMMERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10A ELY ST, COXSACKIE, NY 12051-1216
(518) 731-9405
Mailing address
83 MANSION ST, COXSACKIE, NY 12051-1216
(518) 731-9405
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT-4868
NY
Other
Enumeration date
10/09/2007
Last updated
09/04/2008
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