Individual
DAVID N HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3941
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
250093
NY
207VG0400X
Gynecology Physician
35.083363
OH
207VM0101X
Maternal & Fetal Medicine Physician
250093
NY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
35.083363
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000933940001
HEALTHNOW
NY
05
—
0070338
—
OH
01
—
0553621
GHI
NY
01
—
080923000132
FIDELIS
NY
01
—
1376516211
EXCELLUS
NY
01
—
35.083363
LICENSE
OH
Enumeration date
02/10/2006
Last updated
12/07/2020
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