Individual
COLLEEN HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 E 64TH ST, NEW YORK, NY 10065
(646) 888-4232
Mailing address
35 EDGEWOOD RD, CORTLANDT MANOR, NY 10567-5121
(914) 924-3948
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
637523
NY
363LF0000X
Family Nurse Practitioner
Primary
F341509-1
NY
Other
Enumeration date
05/08/2017
Last updated
08/21/2018
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