Individual
DR. JENNIFER T HANAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
191 HERRICKS RD, NEW HYDE PARK, NY 11040-5236
(516) 742-9642
(516) 742-7470
Mailing address
900 MERCHANTS CONCOURSE STE 216, WESTBURY, NY 11590-5114
(516) 226-8373
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
212028
NY
207VG0400X
Gynecology Physician
212028
NY
207VX0000X
Obstetrics Physician
212028
NY
Other
Enumeration date
01/19/2007
Last updated
12/03/2019
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