Individual provider · Type 1 NPI

Michael Haggerty, PA-C

Surgical Physician Assistant · New York, NY

NPI number 1255112959 Active

Practice location

535 E 70th St
New York, NY 10021-4898

Call (212) 606-1000 Map

Mailing address

78 Cardinal Ln
Hauppauge, NY 11788-2118

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X030811-01 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1255112959

Michael Haggerty, PA-C's National Provider Identifier is 1255112959, issued on Oct 9, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Oct 9, 2023.