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MARYELLEN GREGORY HAMMILL

Psychiatric/Mental Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1740879907

Individual Registrant:
 MARYELLEN GREGORY HAMMILL 
Gender: F
Sole Proprietor

Location and contact information for practice:
21 FULTON WALK  BREEZY POINT, NY 11697-1718 US
Tel: 917-561-1379  Fax: --

Contact information for business:
21 FULTON WALK  BREEZY POINT, NY 11697-1718 US
Tel: 917-561-1379  Fax: --

Registration Information:
NPI: 1740879907
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Psychiatric/Mental Health
NYF403272-01

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS NY - Page 1



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