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Individual

DR. DAVID WILLIAM HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3229 E. GENESEE ST, SUITE 1, SYRACUSE, NY 13214
(315) 464-5726
(315) 464-2510
Mailing address
725 EAST ADAMS ST, 5TH FL, SYRACUSE, NY 13210
(315) 464-5726
(315) 464-2510

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
60409
WI
2080P0205X
Pediatric Endocrinology Physician
01075810A
IN
2080P0205X
Pediatric Endocrinology Physician
Primary
292193
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05233927
NY
05
1003105768
IN
05
1003105768
WI
Enumeration date
04/04/2011
Last updated
06/23/2023
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