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PATRICIA M HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NPP

Contact information

Practice address
490 RIDGE RD E, ROCHESTER, NY 14621-1229
(585) 922-2500
(585) 922-2664
Mailing address
490 RIDGE RD E, ROCHESTER, NY 14621-1229
(585) 922-2500
(585) 922-2664

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400775
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000560933001
BC BS WESTERN NY
05
02777228
NY
01
117625EU
PREFERRED CARE
01
P019400775
EXCELLUS
NY
01
P019400775
EXCELLUS
Enumeration date
01/26/2007
Last updated
03/07/2012
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