Individual
DR. THOMAS A. HAGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
117 MARYS AVE, SUITE 204, KINGSTON, NY 12401-5849
(845) 338-0789
(845) 334-9150
Mailing address
6805 ROUTE 9, SUITE 31, RHINEBECK, NY 12572-1148
(845) 876-3868
(845) 876-3756
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2017201
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01649834
—
NY
Enumeration date
09/20/2005
Last updated
12/16/2010
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