Organization
JAMES R. HANNA DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ROBERT HANNA DPM (PRESIDENT)
(716) 433-8711
Entity
Organization
Contact information
Practice address
690 DAVISON RD, LOCKPORT, NY 14094-5338
(716) 433-8711
(716) 433-8705
Mailing address
690 DAVISON RD, LOCKPORT, NY 14094-5338
(716) 433-8711
(716) 433-8705
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005077
NY
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01578734
—
NY
Enumeration date
08/09/2005
Last updated
10/31/2007
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