Hathaway, Jeffrey W

Hathaway, Jeffrey W is an individual health care provider with primary practice located at 792 N Main St Ste 100C, North Syracuse NY 13212-1644. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hathaway, Jeffrey W can be contacted via phone (315) 458-2552.

Contact Information

Primary practice address
792 N Main St Ste 100C North Syracuse NY 13212-1644
Phone: (315) 458-2552
Fax: (315) 458-2575
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 008280 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT017496 Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10927 North Carolina

Profile Details

NPI number 1518930809
LBN Legal business name Hathaway, Jeffrey W
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Mar 10th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518930809 NPPES
New York Other P00004725 RAILROAD MEDICARE
New York Other 435663 RAILROAD MEDICARE
New York Other 000013512 RAILROAD MEDICARE
New York Other 068AX RAILROAD MEDICARE
New York Other 918237001 RAILROAD MEDICARE
New York Other P00404780 RAILROAD MEDICARE

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