Individual
MR. MICHAEL JOHN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 339-2550
Mailing address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 339-2550
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005233-1
NY
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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