Individual
JAKE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17 LANSING ST, AUBURN, NY 13021-1983
(315) 255-7075
Mailing address
7 BOWEN ST, AUBURN, NY 13021-1628
(315) 246-9190
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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