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Individual

JAY T HASSENFRATZ

Active
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Individual

JAY T HASSENFRATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005872-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026000302
UNIVERA
NY
01
00026000303
UNIVERA
NY
01
000526791006
HEALTHNOW
NY
01
000526791007
HEALTHNOW
NY
01
000526791008
HEALTHNOW
NY
01
000526791009
HEALTHNOW DME
NY
01
000526791010
BC/BS
NY
01
000526791011
BC/BS DME
NY
01
0086185
GHI
NY
05
02324532
NY
01
142517EQ
PREF CARE
NY
01
160918194
TRICARE
NY
01
480015008
RAILROAD MEDICARE
NY
01
7430364
AETNA
NY
01
P05872-8W
WORKERS COMPENSATION
NY
Enumeration date
01/15/2007
Last updated
07/21/2022
About Stedi
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