Provider Demographics
NPI:1447494901
Name:CORDON, BILLY HAMILTON (MD)
Entity type:Individual
Prefix:DR
First Name:BILLY
Middle Name:HAMILTON
Last Name:CORDON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BILLY
Other - Middle Name:HAMILTON
Other - Last Name:CORDON-GALIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4302 ALTON RD
Mailing Address - Street 2:STE 540
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2891
Mailing Address - Country:US
Mailing Address - Phone:305-674-2499
Mailing Address - Fax:
Practice Address - Street 1:100 E 77TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1850
Practice Address - Country:US
Practice Address - Phone:818-800-7557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME127951208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology