| Daniel Hafner Physician Pc | |
|
63 Hurley Ave Kingston NY 12401-2832 | |
| (845) 331-6169 | |
| (845) 331-0681 |
| Full Name | Daniel Hafner Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 63 Hurley Ave, Kingston, New York |
| Authorized Official Name and Position | Daniel G Hafner (PROVIDER) |
| Authorized Official Contact | 8453316169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Hafner Physician Pc 63 Hurley Ave Kingston NY 12401-2832 Ph: (845) 331-6169 | Daniel Hafner Physician Pc 63 Hurley Ave Kingston NY 12401-2832 Ph: (845) 331-6169 |
| NPI Number | 1932308871 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 07/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932308871 | NPI | - | NPPES |
| 00211541 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 115129 (New York) | Primary |
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