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Individual

ERICA K HAHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
3611 21ST ST, LONG ISLAND CITY, NY 11106-4705
(718) 482-7772
(718) 482-9648
Mailing address
60 MADISON AVE, 5TH FLOOR, NEW YORK, NY 10010-1600
(212) 545-2400
(646) 312-0481

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382059
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00695941
NY
05
03166272
NY
Enumeration date
04/27/2009
Last updated
09/17/2015
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