Provider Demographics
NPI:1326206640
Name:HNATH, JEFFREY CLINTON (MD)
Entity Type:Individual
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First Name:JEFFREY
Middle Name:CLINTON
Last Name:HNATH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:391 MYRTLE AVE., SUITE 5
Mailing Address - Street 2:THE VASCULAR GROUP, PLLC
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3797
Mailing Address - Country:US
Mailing Address - Phone:518-262-5640
Mailing Address - Fax:518-262-9413
Practice Address - Street 1:391 MYRTLE AVE., SUITE 5
Practice Address - Street 2:THE VASCULAR GROUP, PLLC
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3412
Practice Address - Country:US
Practice Address - Phone:518-262-5640
Practice Address - Fax:518-262-9413
Is Sole Proprietor?:No
Enumeration Date:2008-05-23
Last Update Date:2017-09-19
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Provider Licenses
StateLicense IDTaxonomies
NY2418372085R0204X, 208G00000X, 2086S0129X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03231023Medicaid
NY03231023Medicaid