Individual
MICHAEL HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23 BOND ST STE 8, GREAT NECK, NY 11021-2025
(516) 482-0329
Mailing address
350 HERB HILL RD, GLEN COVE, NY 11542-4415
(860) 514-1243
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
063267
NY
Other
Enumeration date
03/21/2019
Last updated
08/22/2023
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