Individual
WILLIAM PAUL HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5450
(315) 464-5853
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5450
(315) 464-5853
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
159129
NY
2080P0216X
Pediatric Rheumatology Physician
Primary
159129
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00903282
—
NY
Enumeration date
07/17/2006
Last updated
08/13/2014
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