Individual
HUGH C MACISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 GENESEE ST, SUITE 200, UTICA, NY 13501-5930
(315) 733-7598
(315) 733-2102
Mailing address
2211 GENESEE ST, SUITE 200, UTICA, NY 13501-5930
(315) 733-7598
(315) 733-2102
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
212511
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01980249
—
NY
Enumeration date
07/12/2005
Last updated
07/13/2012
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