Basic Information
Provider Information
NPI: 1164495446
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMILL
FirstName: CHRISTOPHER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5500 MAIN ST
Address2: SUITE 107
City: WILLIAMSVILLE
State: NY
PostalCode: 142216755
CountryCode: US
TelephoneNumber: 7169065908
FaxNumber:  
Practice Location
Address1: 100 HIGH ST
Address2: BUFFALO GENERAL HOSPITAL
City: BUFFALO
State: NY
PostalCode: 142031126
CountryCode: US
TelephoneNumber: 7168787722
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/08/2006
LastUpdateDate: 11/25/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X200675NYY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


Home