Cecil J Haggerty Jr MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

112867 Issued in NY

Legal business name

CECIL J HAGGERTY JR MD PC

Practice address

77 West Ave
Brockport, NY 14420-1305

Phone

(585) 637-3010

Fax

(585) 637-4919

NPI assigned

Nov 19, 2010

Last updated

Nov 19, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cecil J Haggerty Jr., MD PCNPI 1194828582

Title

President

Phone

(585) 637-3010

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cecil Jerome Haggerty, MD

  • Ophthalmology Physician
  • Brockport, NY
  • NPI 1194828582
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1497057624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201305",
            "telephone_number": "585-637-3010",
            "fax_number": "585-637-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201305",
            "telephone_number": "585-637-3010",
            "fax_number": "585-637-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECIL J HAGGERTY JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "HAGGERTY",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-637-3010",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "112867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00428799",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Carvin
• Leslie D Casey, RN
• Bradley Casper
• Catherine E Newton, LCSW, LLC
• Elyse Catlin, RN
• Ya-Chen Chang, DDS
• Erin B Chapman, ATC
• Elizabeth Marie Chatelle, PHARMD
• Melessa Chatt, RDH
• Tiffany Marie Christopher, PHARMD

• Specialist in Brockport, NY
• Providers in Brockport, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.