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Individual
MR. THOMAS ARTHUR HAGERTY
Active
Individual
MR. THOMAS ARTHUR HAGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, NP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
530462-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
304704
NY
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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