Provider Demographics
NPI:1699164418
Name:HAMILTON, ROBERT D (DVM)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1961 ROUTE 14
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:NY
Mailing Address - Zip Code:14489-9343
Mailing Address - Country:US
Mailing Address - Phone:315-946-4875
Mailing Address - Fax:315-946-4255
Practice Address - Street 1:1961 ROUTE 14
Practice Address - Street 2:
Practice Address - City:LYONS
Practice Address - State:NY
Practice Address - Zip Code:14489-9343
Practice Address - Country:US
Practice Address - Phone:315-946-4875
Practice Address - Fax:315-946-4255
Is Sole Proprietor?:No
Enumeration Date:2015-01-16
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004546174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian