Provider Demographics
NPI:1285751925
Name:HAMMOND, WILLIAM HENRY JR (DC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:HENRY
Last Name:HAMMOND
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 SEAMAN RD
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-1610
Mailing Address - Country:US
Mailing Address - Phone:718-297-0909
Mailing Address - Fax:718-297-0940
Practice Address - Street 1:18311 HILLSIDE AVE
Practice Address - Street 2:STE DD
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-4813
Practice Address - Country:US
Practice Address - Phone:718-297-0909
Practice Address - Fax:718-297-0940
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006924-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor