Individual
MRS. BABITA HANOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R-PAC
Contact information
Practice address
19503 HILLSIDE AVE, HOLLIS, NY 11423-2014
(718) 465-3002
(718) 465-3115
Mailing address
9006 182ND ST, HOLLIS, NY 11423-2337
(718) 350-4286
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008893
NY
Other
Enumeration date
04/09/2011
Last updated
04/09/2011
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