Organization
MID HUDSON PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS HAGERTY MD (GROUP OWNER)
(845) 338-0799
Entity
Organization
Contact information
Practice address
117 MARYS AVE, SUITE 204, KINGSTON, NY 12401-5849
(845) 338-0789
(845) 334-9150
Mailing address
117 MARYS AVE, SUITE 204, KINGSTON, NY 12401-5849
(845) 338-0789
(845) 334-9150
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2017201
NY
Other
Enumeration date
09/15/2005
Last updated
09/21/2016
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