Hagerty, Thomas A.

Hagerty, Thomas A. is an sole proprietor health care provider with primary practice located at 117 Marys Ave Suite 204, Kingston NY 12401-5849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Hagerty, Thomas A. can be contacted via phone (845) 338-0789.

Contact Information

Primary practice address
117 Marys Ave Suite 204 Kingston NY 12401-5849
Phone: (845) 338-0789
Fax: (845) 334-9150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 2017201 New York

Profile Details

NPI number 1831184449
LBN Legal business name Hagerty, Thomas A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Dec 16th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831184449 NPPES
New York MEDICAID 01649834

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