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Individual

DR. ANNE G HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
34 COMMERCE AVE, SUITE 2, RIVERHEAD, NY 11901-3118
(631) 722-8880
(631) 722-7851
Mailing address
34 COMMERCE AVE, SUITE 2, RIVERHEAD, NY 11901-3118
(631) 722-8880
(631) 722-7851

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
232311
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02572223
NY
01
5644194
AETNA
NY
01
6B9683
EMPIRE BC.BS
NY
Enumeration date
06/13/2006
Last updated
04/03/2014
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