National Provider Identifier
Cecil Jerome Haggerty, MD
Cecil Jerome Haggerty, MD is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Brockport, NY and a listed phone number of (585) 637-3010.
Profile Overview
- NPI
- 1194828582
- Provider Type
- Individual
- Primary Specialty
- Ophthalmology Physician
- Enumeration Date
- September 07, 2006
- Last Updated
- July 08, 2007
Practice Location
- 77 West Ave
- Brockport, NY 14420-1305
Phone: (585) 637-3010
Specialties
- Ophthalmology Physician (207W00000X)
Full Record
- NPI
- 1194828582
- Entity Type
- Individual
- Last Name
- Haggerty
- First Name
- Cecil
- Middle Name
- Jerome
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 77 West Ave
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1305
- Mailing Country
- US
- Mailing Phone
- (585) 637-3010
- Mailing Fax
- (585) 637-4919
- Practice Street Address
- 77 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1305
- Practice Country
- US
- Practice Phone
- (585) 637-3010
- Practice Fax
- (585) 637-4919
- Enumeration Date
- September 07, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Ophthalmology Physician (207W00000X)
- Other Identifiers
- 00428799 (NY)