| Sally M Hartwick, Md Pllc | |
|
25 Evergreen St Afton NY 13730-2129 | |
| (607) 639-2701 | |
| (607) 639-3333 |
| Full Name | Sally M Hartwick, Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 25 Evergreen St, Afton, New York |
| Authorized Official Name and Position | Sally Hartwick (OWNER) |
| Authorized Official Contact | 6076392701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sally M Hartwick, Md Pllc 25 Evergreen St Afton NY 13730-2129 Ph: (607) 639-2701 | Sally M Hartwick, Md Pllc 25 Evergreen St Afton NY 13730-2129 Ph: (607) 639-2701 |
| NPI Number | 1205410784 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 12/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205410784 | NPI | - | NPPES |
| 1275023020 | Other | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Stephen L Dygert, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Evergreen Avenue, Afton, NY 13730 Phone: 607-639-2701 Fax: 607-639-3333 |