Individual
DR. BRENT WOOD HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 TOM MILLER RD, PLATTSBURGH, NY 12901-1252
(518) 563-2404
(518) 563-4033
Mailing address
52 TOM MILLER RD, PLATTSBURGH, NY 12901-1252
(518) 563-2404
(518) 563-4033
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
125877
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00632595
—
NY
Enumeration date
08/13/2006
Last updated
07/08/2007
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