Organization
THOMAS A. HASSENFRATZ DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A HASSENFRATZ DPM (OWNER)
(716) 836-7156
Entity
Organization
Contact information
Practice address
380 CLEVELAND DR, BUFFALO, NY 14215-1922
(716) 836-7156
(716) 837-4112
Mailing address
380 CLEVELAND DR, BUFFALO, NY 15215-1922
(716) 836-7156
(716) 837-4112
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002071
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00603287
—
NY
01
—
480015008
RR MEDICARE
—
01
—
RA0314
MEDICARE PART B
—
Enumeration date
11/11/2010
Last updated
11/11/2010
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