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Contact Information

DAVID HAUERSTOCK, MD
133 PARK ST
MALONE, NY12953-1244
 Phone: 518-483-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Radiation Oncology

2085R0203X
Indicates primary specialty

NPI Profile & details for DAVID HAUERSTOCK · (Male)

NPI # 1063746964
Status Active
Credentials MD
Entity Individual
Enumeration date 09/24/2009
Last updated 08/20/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 003694
  • NY License # 271064
Hospital affiliation(s)
  • CANTON-POTSDAM HOSPITAL - (Acute Care)
    50 LEROY STREET
    POTSDAM, NY 13676
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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