Provider Demographics
NPI:1255333209
Name:HYATT, JUDITH M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:M
Last Name:HYATT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3177
Mailing Address - Country:US
Mailing Address - Phone:716-316-9626
Mailing Address - Fax:
Practice Address - Street 1:375 MAPLE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-3177
Practice Address - Country:US
Practice Address - Phone:716-316-9626
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040835-11835P1200X, 1835P1300X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Not Answered1835P1300XPharmacy Service ProvidersPharmacistPsychiatric
Not Answered183500000XPharmacy Service ProvidersPharmacist