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Individual

CATHY HAHN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
59 MONROE AVE, SUITE B, PITTSFORD, NY 14534-1308
(585) 385-1710
Mailing address
174 OAK LN, ROCHESTER, NY 14610-3136

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
231986
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01468648
NY
01
101468DL
PREFERRED CARE PROVIDER
NM
01
2635
EXCELLUS BLS
NY
01
5442307
AETNA PROVIDER NUMBER
NY
Enumeration date
12/05/2005
Last updated
07/09/2007
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