| William H. Hartwig, Ph.d., P.c. | |
|
12 Davis Avenue Vassar Professional Building 2 N Poughkeepsie NY 12603-2408 | |
| (845) 471-8175 | |
| (845) 471-0139 |
| Full Name | William H. Hartwig, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 12 Davis Avenue, Poughkeepsie, New York |
| Authorized Official Name and Position | William Henry Hartwig (PRESIDENT) |
| Authorized Official Contact | 8452976618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William H. Hartwig, Ph.d., P.c. 1 Glen Brook Ct Wappingers Falls NY 12590-1832 Ph: (845) 297-6618 | William H. Hartwig, Ph.d., P.c. 12 Davis Avenue Vassar Professional Building 2 N Poughkeepsie NY 12603-2408 Ph: (845) 471-8175 |
| NPI Number | 1922249325 |
|---|---|
| Provider Enumeration Date | 03/13/2009 |
| Last Update Date | 04/24/2009 |
| Medicare PECOS PAC ID | 3476619875 |
|---|---|
| Medicare Enrollment ID | O20090521000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922249325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 006984 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 006984 (New York) | Primary |
| Provider Name | William H Hartwig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770502346 PECOS PAC ID: 2668538067 Enrollment ID: I20090521000035 |
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