Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 230467 | NY |
Y | 208600000X | Surgeon | 230467 | NY |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 230467 | NY |
NPI | 1093704496 |
---|---|
Provider Name | Dr. Jeffrey E. Hatter |
First Address | Kingston, NY 12401-5849 |
Second Address | Kingston, NY 12401-5849 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2005 |
Last Update Date | 29/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2521433 | (05) | NY |
G00426 | (02) | NY |