Individual
HANNAH HANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
319 W MAIN ST, BATAVIA, NY 14020-1347
(585) 599-6446
(585) 599-3166
Mailing address
20 MAIN ST, ANDOVER, NY 14806-9303
(607) 478-8421
(607) 478-8886
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
024039
NY
Other
Enumeration date
09/17/2019
Last updated
09/04/2024
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