Hathaway, Andrew P

Hathaway, Andrew P is an individual health care provider with primary practice located at 5000 Brittonfield Pkwy Ste A100 , East Syracuse NY 13057-9227. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hathaway, Andrew P can be contacted via phone (315) 449-3800.

Contact Information

Primary practice address
5000 Brittonfield Pkwy Ste A100 East Syracuse NY 13057-9227
Phone: (315) 449-3800
Fax: (315) 449-0558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 264018 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 264018-1 New York

Profile Details

NPI number 1467793273
LBN Legal business name Hathaway, Andrew P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2013
Last updated Mar 12th, 2021 - about 3 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 1467793273 NPPES
New York MEDICAID 03566525

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