Bancroft, Hartley S.
Bancroft, Hartley S. is an individual health care provider with primary practice located at 400 Midway Park Dr , Middletown NY 10940-2656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bancroft, Hartley S. can be contacted via phone (845) 343-0728.Contact Information
Primary practice address
400 Midway Park Dr
Middletown NY 10940-2656
Phone: (845) 343-0728
Fax: (845) 343-2087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 172449 | New York |
Profile Details
| NPI number | 1023163953 |
|---|---|
| LBN Legal business name | Bancroft, Hartley S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Oct 1st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023163953 | NPPES |
| New York | MEDICAID | 01775391 |
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