Individual
JACK WARNOCK HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3323 E OLD STATE RD, SCHENECTADY, NY 12303-5255
(541) 306-8653
(000) 000-0000
Mailing address
3323 E OLD STATE RD, SCHENECTADY, NY 12303-5255
(541) 306-8653
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD12789
OR
208D00000X
General Practice Physician
Primary
296892
NY
Other
Enumeration date
05/05/2006
Last updated
10/28/2021
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