Individual
DR. HARTLEY S. BANCROFT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 MIDWAY PARK DR, MIDDLETOWN, NY 10940-2656
(845) 343-0728
(845) 343-2087
Mailing address
400 MIDWAY PARK DR, MIDDLETOWN, NY 10940-2656
(845) 343-0728
(845) 343-2087
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
172449
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01775391
—
NY
Enumeration date
01/23/2007
Last updated
10/01/2020
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