Individual
AUSTIN MICHAEL HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 ROUTE 111, SMITHTOWN, NY 11787-3754
(631) 920-8300
Mailing address
11 ROUTE 111, SMITHTOWN, NY 11787-3754
(631) 920-8300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
About Stedi
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