Individual
HANNA THANKAM ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 683-0682
Mailing address
1009 SUMMITVILLE DR, WEBSTER, NY 14580-4138
(407) 371-7887
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
P135136
NY
213EP0504X
Public Medicine Podiatrist
P135136
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
P135136
NY
213ER0200X
Radiology Podiatrist
P135136
NY
213ES0000X
Sports Medicine Podiatrist
P135136
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P135136
NY
213ES0131X
Foot Surgery Podiatrist
P135136
NY
Other
Enumeration date
06/23/2025
Last updated
06/24/2025
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