Individual
MR. DAVID MATTHEW HANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6050 ROUTE US 20, LAFAYETTE, NY 13084
(585) 247-6930
Mailing address
101 GRIFFIN DR, FAYETTEVILLE, NY 13066-1923
(585) 247-6930
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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