Individual
BRIDGET HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(203) 980-1903
Mailing address
98 PEPPERBUSH LN, GUILFORD, CT 06437-1719
(203) 980-1903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/31/2020
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