| Dr David Hauerstock, MD | |
|
133 Park St, Malone, NY 12953-1244 | |
| (518) 483-3000 | |
| Not Available |
| Full Name | Dr David Hauerstock |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 21 Years |
| Location | 133 Park St, Malone, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063746964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0203X | Radiology - Therapeutic Radiology | 003694 (New York) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 271064 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Canton-potsdam Hospital | Potsdam, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alice Hyde Medical Center | 4082525837 | 72 |
| Canton-potsdam Hospital | 6204827280 | 199 |
| Entity Name | United Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013972801 PECOS PAC ID: 0345144978 Enrollment ID: O20031125000020 |
| Entity Name | Alice Hyde Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114954682 PECOS PAC ID: 4082525837 Enrollment ID: O20031126000357 |
| Entity Name | Canton-potsdam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
| Entity Name | Great Lakes Physician Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659310092 PECOS PAC ID: 9133434269 Enrollment ID: O20150818004788 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Hauerstock, MD 172 River Rd, Potsdam, NY 13676-3101 Ph: (315) 244-8775 | Dr David Hauerstock, MD 133 Park St, Malone, NY 12953-1244 Ph: (518) 483-3000 |
Mordechai Rehany, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 115 Park St, Alice Hyde Hospital, Malone, NY 12953 Phone: 315-782-2620 Fax: 315-788-4980 | |
Morris Browman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 115 Park St, Alice Hyde Hospital, Malone, NY 12953 Phone: 315-782-2620 Fax: 315-788-4980 |