Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES PETER HACKETT I, D.O.
Active Sole ProprietorDR. CHARLES PETER HACKETT I, D.O. is a Family Medicine healthcare provider located in OAK BEACH, New York. NPI 1497934905 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · OAK BEACH, NY
Registration Details
- NPI Number
- 1497934905
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2007 (18.832890863721 yrs)
- Last Updated
- Oct 31, 2007
- Licenses
-
163238 (NY)163238 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4427 OAK BEACH ASSN47 LARBOARD CT.OAK BEACH, NY, 117024619Browse NY providers · Browse ZIP 11702
- Phone
- 6314221484
- Fax
- 6314229103
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.