Provider Demographics
NPI:1730184185
Name:HATEF, JOSEPH E (DPM)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:E
Last Name:HATEF
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-2802
Mailing Address - Country:US
Mailing Address - Phone:607-936-6933
Mailing Address - Fax:
Practice Address - Street 1:154 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-2802
Practice Address - Country:US
Practice Address - Phone:607-936-6933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005305213ES0103X
PASC004047-L213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU62294Medicare UPIN
NY0597870001Medicare NSC
PA073868R7DMedicare PIN
NYU62294Medicare UPIN