Individual
MRS. BEVERLY MCCDONALD HYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 HAMPTON HILL DR, WILLIAMSVILLE, NY 14221-5840
(716) 633-6133
(716) 632-2253
Mailing address
32 HAMPTON HILL DR, WILLIAMSVILLE, NY 14221-5840
(716) 633-6133
(716) 632-2253
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
238860-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02744241
—
NY
Enumeration date
02/06/2008
Last updated
02/06/2008
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