Individual
MR. DAVID MATTHEW HANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007685
NY
225700000X
Massage Therapist
0076851
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127397GG
PREFERRED CARE
NY
01
—
615879500
U.S. DEPARTMENT OF LABOR OFFICE OF WORKERS COMPENSATION PROGRAM (OWCP)
—
Enumeration date
03/22/2007
Last updated
10/02/2019
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