| Dr Hartley S Bancroft Ii, MD | |
| 400 Midway Park Dr, Middletown, NY 10940-2656 | |
| (845) 343-0728 | |
| (845) 343-2087 | 
| Full Name | Dr Hartley S Bancroft Ii | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 400 Midway Park Dr, Middletown, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023163953 | NPI | - | NPPES | 
| 01775391 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 172449 (New York) | Primary | 
| Entity Name | Boston Children's Health Physicians Llp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Hartley S Bancroft Ii, MD 400 Midway Park Dr, Middletown, NY 10940-2656 Ph: (845) 343-0728 | Dr Hartley S Bancroft Ii, MD 400 Midway Park Dr, Middletown, NY 10940-2656 Ph: (845) 343-0728 | 
| William Anthony Rose, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Midway Park Drive, Orange Pediatric Associates Pc, Middletown, NY 10940 Phone: 845-343-0728 Fax: 845-343-2087 | |
| Dr. Steve Shah, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Maltese Dr, Middletown, NY 10940 Phone: 845-342-4774 | |
| Kathleen Byrne, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
| Pooja Chandra, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-7575 Fax: 845-333-7120 | |
| Dr. Daniel Joseph Ohern, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
| Jill Hirsch, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-796-5807 |