Basic Information
| Provider Information | |||||||||
| NPI: | 1902970247 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAMIK | ||||||||
| FirstName: | ANNE | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD, PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1554 | ||||||||
| Address2: | |||||||||
| City: | STONY BROOK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117900988 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6314440650 | ||||||||
| FaxNumber: | 6316384170 | ||||||||
| Practice Location | |||||||||
| Address1: | HSC T16 080 | ||||||||
| Address2: | |||||||||
| City: | STONY BROOK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117948167 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6314441060 | ||||||||
| FaxNumber: | 6314441054 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/20/2006 | ||||||||
| LastUpdateDate: | 06/30/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 35-088923 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0000X | 35-088923 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | 284923 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 421800 | 01 | OH | WELLCARE | OTHER | 2703668 | 05 | OH | MEDICAID | 745090 | 01 | OH | BUCKEYE | OTHER | P00374195 | 01 | OH | RAILROAD MEDICARE | OTHER | 000000539502 | 01 | OH | ANTHEM | OTHER | 000000224467 | 01 | OH | UNISON | OTHER | 7377942 | 01 | OH | AETNA | OTHER | P00459808 | 01 | OH | RAILROAD MEDICARE | OTHER |