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Individual

DORIS HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5942
Mailing address
3187 HYLAN BLVD, STATEN ISLAND, NY 10306-4144
(347) 996-2876

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0158651
NY

Other

Enumeration date
09/05/2012
Last updated
09/05/2012
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