Individual
DR. LAURA WAY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7210
Mailing address
1330 1ST AVE APT 1704, NEW YORK, NY 10021-4837
(413) 519-5716
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
274702-01
NY
2086S0127X
Trauma Surgery Physician
Primary
274702-01
NY
Other
Enumeration date
05/15/2012
Last updated
06/07/2023
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