Individual
FRED S HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200WESTAGE BUINESS CENTER, SUITE324, FISHKILL, NY 12524
(845) 896-0611
(845) 896-0616
Mailing address
200 WESTAGE BUSINESS CTR DR, SUITE 324, FISHKILL, NY 12524-2264
(845) 896-0611
(845) 896-0616
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
091385
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00535286
—
NY
01
—
133544120
TAX ID
NY
Enumeration date
07/06/2006
Last updated
08/24/2021
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