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NPI Code Detail

MEDICARE: MR. ROGER C. HUSTED MD

MEDICARE: MR. ROGER C. HUSTED 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
1174400000XSpecialist2210101NY
2207W00000XOphthalmology Physician221010NY

General Provider Information

NPI Number : 1679577191
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROGER C. HUSTED MD
Provider Business Mailing Address
First Line : 110 S BEDFORD RD
Second Line : CAREMOUNT MEDICAL PC
City : MOUNT KISCO
State : NY
Zip : 10549-3446
Country : US
Telephone Number : 914-241-1050
Fax Number : 914-242-1516
Provider Business Practice Location Address
First Line : 6734 ROUTE 9
Second Line :
City : RHINEBECK
State : NY
Zip : 12572-3724
Country : US
Telephone Number : 845-231-5600
Fax Number : 845-202-6042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 11/17/2016

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