Ham, Larry

Ham, Larry is an sole proprietor health care provider with primary practice located at 176 N Village Ave Suite 1C, Rockville Centre NY 11570-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ham, Larry can be contacted via phone (516) 594-1068.

Contact Information

Primary practice address
176 N Village Ave Suite 1C Rockville Centre NY 11570-3800
Phone: (516) 594-1068
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 213395 New York

Profile Details

NPI number 1881767622
LBN Legal business name Ham, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Nov 5th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881767622 NPPES
New York MEDICAID 02105200

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