Individual
DR. MARK HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST # VC-260, NEW YORK, NY 10032-3720
(212) 305-8720
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(908) 628-5233
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
312603
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2016
Last updated
08/08/2023
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