Individual
JEFFREY CLINTON HNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
391 MYRTLE AVE., SUITE 5, THE VASCULAR GROUP, PLLC, ALBANY, NY 12208-3412
(518) 262-5640
(518) 262-9413
Mailing address
391 MYRTLE AVE., SUITE 5, THE VASCULAR GROUP, PLLC, ALBANY, NY 12208-3797
(518) 262-5640
(518) 262-9413
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
241837
NY
2086S0129X
Vascular Surgery Physician
Primary
241837
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
241837
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03231023
—
NY
Enumeration date
05/23/2008
Last updated
09/19/2017
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