Provider Demographics
NPI:1447520234
Name:ALEXANDER P HATSIS PHYSICIAN PC
Entity type:Organization
Organization Name:ALEXANDER P HATSIS PHYSICIAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:BALFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-763-4106
Mailing Address - Street 1:2 LINCOLN AVE
Mailing Address - Street 2:STE 401
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-5775
Mailing Address - Country:US
Mailing Address - Phone:516-763-4106
Mailing Address - Fax:516-763-5216
Practice Address - Street 1:2 LINCOLN AVE
Practice Address - Street 2:STE 401
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-5775
Practice Address - Country:US
Practice Address - Phone:516-763-4106
Practice Address - Fax:516-763-5216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60140263207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty