1366700221 NPI number — DR. ELISE MARIE HAGEN MD

Table of content: DR. ELISE MARIE HAGEN MD (NPI 1366700221)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366700221 NPI number — DR. ELISE MARIE HAGEN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAGEN
Provider First Name:
ELISE
Provider Middle Name:
MARIE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366700221
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/17/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
110 S BEDFORD RD
Provider Second Line Business Mailing Address:
CAREMOUNT MEDICAL PC
Provider Business Mailing Address City Name:
MOUNT KISCO
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10549-3446
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-241-1050
Provider Business Mailing Address Fax Number:
914-242-1516

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6734 ROUTE 9
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RHINEBECK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12572-3724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-231-5600
Provider Business Practice Location Address Fax Number:
845-202-6713
Provider Enumeration Date:
04/30/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  265815 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 03474971 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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