| Doctor Name: | MARY JUDE HATCH |
| NPI Number: | 1760497648 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | F430246 |
| Business Practice Address: | 418 S Hamilton St Suite 109 Painted Post, NY - 148709705 |
| Business Phone Number: | 6079362089 |
| Business Fax Number: | 6079368176 |
| Mailing Address: | 722 W Water St, ELMIRA |
| State: | NY |
| Postal Code: | 149052435 |
| Phone Number: | 6072712050 |
| Fax Number: | 6072712099 |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | F430246 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |