ANDREW P HATHAWAY

ST JOSEPHS MEDICAL PC

Dr ANDREW P HATHAWAY is a male medical professional, specializing in Family Medicine. He graduated in 2004 from State University Of New York Health Science Center Of Syracuse.

Contact

ST JOSEPHS MEDICAL PC

5100 W TAFT RD
LIVERPOOL
NY
130883807

Tel: 3154522828

ANDREW P HATHAWAY Information

Npi 1467793273
Pac Id 1355588336
Professional Enrollment Id I20130510000386
Last Name HATHAWAY
First Name ANDREW
Middle Name P
Suffix
Gender M
Credential
Medical School Name STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE
Graduation Year 2004
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ST JOSEPHS MEDICAL PC
Group Practice Pac Id 4688855844
Number Of Group Practice Members 332
Line 1 Street Address 5100 W TAFT RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LIVERPOOL
State NY
Zip Code 130883807
Phone Number 3154522828
Hospital Affiliation Ccn 1 330218
Hospital Affiliation Lbn 1 OSWEGO HOSPITAL
Hospital Affiliation Ccn 2 330203
Hospital Affiliation Lbn 2 CROUSE HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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