National Provider Identifier
Steven Richard Hagen, TCHR VIS IMP
Steven Richard Hagen, TCHR VIS IMP is listed in the NPPES registry with a primary specialty of Specialist in Amherst, NY and a listed phone number of (716) 836-7556.
Profile Overview
- NPI
- 1184979585
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- July 23, 2012
- Last Updated
- July 23, 2012
Practice Location
- 700 Sweet Home RD
- Amherst, NY 14226-1444
Phone: (716) 836-7556
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1184979585
- Entity Type
- Individual
- Last Name
- Hagen
- First Name
- Steven
- Middle Name
- Richard
- Name Prefix
- Mr.
- Credential
- TCHR VIS IMP
- Mailing Street Address
- 700 Sweet Home RD
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-1444
- Mailing Country
- US
- Mailing Phone
- (716) 836-7556
- Mailing Fax
- (716) 837-2829
- Practice Street Address
- 700 Sweet Home RD
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1444
- Practice Country
- US
- Practice Phone
- (716) 836-7556
- Practice Fax
- (716) 837-2829
- Enumeration Date
- July 23, 2012
- Last Updated
- July 23, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)