Individual
JAY T HASSENFRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1026 UNION RD, WEST SENECA, NY 14224-3445
(716) 712-0851
(716) 712-0853
Mailing address
1026 UNION RD, WEST SENECA, NY 14224-3445
(716) 712-0851
(716) 712-0853
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005872-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026000302
UNIVERA
NY
01
—
00026000303
UNIVERA
NY
01
—
000526791006
HEALTHNOW
NY
01
—
000526791007
HEALTHNOW
NY
01
—
000526791008
HEALTHNOW
NY
01
—
000526791009
HEALTHNOW DME
NY
01
—
000526791010
BC/BS
NY
01
—
000526791011
BC/BS DME
NY
01
—
0086185
GHI
NY
05
—
02324532
—
NY
01
—
142517EQ
PREF CARE
NY
01
—
160918194
TRICARE
NY
01
—
480015008
RAILROAD MEDICARE
NY
01
—
7430364
AETNA
NY
01
—
P05872-8W
WORKERS COMPENSATION
NY
Enumeration date
01/15/2007
Last updated
07/21/2022
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