Individual
DR. DEREK G HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 EAST 70TH STREET, STARR 2, NEW YORK, NY 10021-9800
(646) 962-4620
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(646) 962-4620
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
275158
NY
Other
Enumeration date
04/05/2012
Last updated
12/22/2020
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