Organization
DANIEL HAFNER PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL G HAFNER M.D. (PROVIDER)
(845) 331-6169
Entity
Organization
Contact information
Practice address
63 HURLEY AVE, KINGSTON, NY 12401-2832
(845) 331-6169
(845) 331-0681
Mailing address
63 HURLEY AVE, KINGSTON, NY 12401-2832
(845) 331-6169
(845) 331-0681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
115129
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00211541
—
NY
Enumeration date
07/11/2007
Last updated
07/11/2007
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