Individual
CASEY MARIE HANABURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
2081 W RIDGE RD, SUITE 205, ROCHESTER, NY 14626-2724
(585) 227-4560
(585) 227-4608
Mailing address
2081 W RIDGE RD, SUITE 205, ROCHESTER, NY 14626-2724
(585) 227-4560
(585) 227-4608
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008298-1
NY
Other
Enumeration date
02/22/2006
Last updated
07/11/2016
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