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Individual

JO A HANNAFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.,PH.D

Contact information

Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1469
(212) 327-1417
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(212) 606-1469
(631) 329-6951

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
172771
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
39752
CT

Other

Enumeration date
09/27/2006
Last updated
12/21/2020
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