Individual
IVANA HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
242 MASON AVE STE 5, STATEN ISLAND, NY 10305-3408
(718) 226-6283
Mailing address
28 TRINA LN, STATEN ISLAND, NY 10309-1532
(347) 884-1318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009854-01
NY
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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