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Contact Information

MILES D HANSEN JR, ATC
10 DALEY RD
POUGHKEEPSIE, NY12603-3225
 Phone: 845-546-2286
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for MILES D HANSEN JR · (Male)

NPI # 1104414754
Status Active
Credentials ATC
Entity Individual
Enumeration date 01/08/2021
Last updated 01/08/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 002176
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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