Dr Charles Peter Hackett I, DO | |
4427 Oak Beach Assn, 47 Larboard Ct., Oak Beach, NY 11702-4619 | |
(631) 422-1484 | |
(631) 422-9103 |
Full Name | Dr Charles Peter Hackett I |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 4427 Oak Beach Assn, Oak Beach, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497934905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 163238 (New York) | Secondary |
207Q00000X | Family Medicine | 163238 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Peter Hackett I, DO 4427 Oak Beach Assn, 47 Larboard Ct., Oak Beach, NY 11702-4619 Ph: (631) 422-1484 | Dr Charles Peter Hackett I, DO 4427 Oak Beach Assn, 47 Larboard Ct., Oak Beach, NY 11702-4619 Ph: (631) 422-1484 |