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NPI Code Detail

MEDICARE: DAVID C HINSMAN MD

MEDICARE: DAVID C HINSMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician0012375101NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000470220003OTHERNYBS OF NENY
3DH090M9210OTHERNYEMPIRE BC BS
4P0101237511OTHERNYEXCELLUS BC BS

General Provider Information

NPI Number : 1104926989
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID C HINSMAN MD
Provider Business Mailing Address
First Line : PO BOX 2868
Second Line :
City : PLATTSBURGH
State : NY
Zip : 12901-0259
Country : US
Telephone Number : 518-562-7900
Fax Number : 518-562-7933
Provider Business Practice Location Address
First Line : 75 BEEKMAN ST
Second Line :
City : PLATTSBURGH
State : NY
Zip : 12901-1438
Country : US
Telephone Number : 518-561-2000
Fax Number : 518-561-0881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 08/17/2007

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