Individual
RAFIK HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 AMSTERDAM AVENUE, EMERGENCY DEPARTMENT, NEW YORK, NY 10025
(212) 523-3981
Mailing address
1111 AMSTERDAM AVENUE, EMERGENCY DEPARTMENT, NEW YORK, NY 10025
(212) 523-3981
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
229629
NY
207P00000X
Emergency Medicine Physician
25MA08858500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406337600
—
MD
01
—
75859903
BLUE SHIELD
MD
01
—
P00184239
RAILROAD MED
MD
Enumeration date
10/03/2006
Last updated
10/25/2012
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