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Organization
SALLY M HARTWICK, MD PLLC
Active
Organization
SALLY M HARTWICK, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY HARTWICK MD (OWNER)
(607) 639-2701
Entity
Organization
Contact information
Practice address
25 EVERGREEN ST, AFTON, NY 13730-2129
(607) 639-2701
(607) 639-3333
Mailing address
25 EVERGREEN ST, AFTON, NY 13730-2129
(607) 639-2701
(607) 639-3333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275023020
TYPE 1 NPI
—
Enumeration date
05/10/2021
Last updated
12/13/2024
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