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Individual
MICHAEL L HAGADORN
Active
Individual
MICHAEL L HAGADORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008392-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000490094001
BSNENY
NY
05
—
02292102
—
NY
01
—
114406
VALUE OPTIONS
NY
01
—
90031
MVP
NY
01
—
SE08R10010
EMPIRE
NY
Enumeration date
11/29/2006
Last updated
08/17/2007
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