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Contact Information

MARK HANNA, MD
622 W 168TH ST # VC-260
NEW YORK, NY10032-3720
 Phone: 212-305-8720
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARK HANNA · (Male)

NPI # 1376905588
Status Active
Credentials MD
Entity Individual
Enumeration date 03/26/2016
Last updated 08/08/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 312603
Hospital affiliation(s) Not Available
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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