Individual
EDWIN P HUTSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 734-3414
(607) 734-9728
Mailing address
100 E 14TH ST, ELMIRA HEIGHTS, NY 14903-1318
(607) 734-6237
(607) 734-9728
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
129259-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00360141
—
NY
Enumeration date
03/08/2006
Last updated
02/15/2010
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