Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keagan David Hamilton

Individual provider Peer Specialist · NPI 1710777586

Keagan David Hamilton is a Peer Specialist in Ithaca, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

201 E Green St
Ithaca, NY 14850-5635
Phone: (607) 274-6200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence NYCPS-P-4955 (NY)

Record details

NPI number1710777586
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 7, 2025
Last updated in NPPESMay 7, 2025
Certification dateMay 6, 2025
Mailing address201 E Green St, Ithaca, NY 14850-5635

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