MEDICARE: DR. KARL FREDERICK HAFNER M.D., M.P.H.

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
1	207Q00000X	Family Medicine Physician	150265	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235132655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARL FREDERICK HAFNER M.D., M.P.H.

Provider Business Mailing Address
First Line	:	98 N 2ND ST
Second Line	:
City	:	FULTON
State	:	NY
Zip	:	13069-1254
Country	:	US
Telephone Number	:	315-598-1220
Fax Number	:	315-598-7541

Provider Business Practice Location Address
First Line	:	98 N 2ND ST
Second Line	:
City	:	FULTON
State	:	NY
Zip	:	13069-1254
Country	:	US
Telephone Number	:	315-598-1220
Fax Number	:	315-598-7541

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/10/2007

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