Basic Information
| Provider Information | |||||||||
| NPI: | 1679656730 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAMATI | ||||||||
| FirstName: | ISAM | ||||||||
| MiddleName: | |||||||||
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| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3189 | ||||||||
| Address2: | |||||||||
| City: | SYRACUSE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 132203189 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3154546000 | ||||||||
| FaxNumber: | 3154548650 | ||||||||
| Practice Location | |||||||||
| Address1: | 8057 BREWERTON RD | ||||||||
| Address2: | |||||||||
| City: | CICERO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 130399585 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3156980040 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/23/2006 | ||||||||
| LastUpdateDate: | 08/18/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | 12010905A | IN | N | Dental Providers | Dentist | 122300000X | DS030266L | PA | N | Dental Providers | Dentist | 122300000X | 21260 | MA | N | Dental Providers | Dentist | 122300000X | 3760 | ME | N | Dental Providers | Dentist | 122300000X | 22DI02018700 | NJ | N | Dental Providers | Dentist | 122300000X | 016-0002234 | VT | N | Dental Providers | Dentist | 122300000X | 047142-1 | NY | Y | Dental Providers | Dentist | 122300000X | 8567 | CT | N | Dental Providers | Dentist | 122300000X | 3446 | NH | N | Dental Providers | Dentist | 122300000X | DEN02865 | RI | N | Dental Providers | Dentist |
No ID Information.