MEDICARE: JOSEPH E HATEF DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	N005305	NY
2	213ES0131X	Foot Surgery Podiatrist	SC004047-L	PA

General Provider Information

NPI Number	:	1730184185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH E HATEF DPM

Provider Business Mailing Address
First Line	:	154 E 2ND ST
Second Line	:
City	:	CORNING
State	:	NY
Zip	:	14830-2802
Country	:	US
Telephone Number	:	607-936-6933
Fax Number	:

Provider Business Practice Location Address
First Line	:	154 E 2ND ST
Second Line	:
City	:	CORNING
State	:	NY
Zip	:	14830-2802
Country	:	US
Telephone Number	:	607-936-6933
Fax Number	:

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	02/23/2017

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Directions to “ JOSEPH E HATEF DPM” Practice Location

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