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Individual

JAMES ROBERT HANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
690 DAVISON RD, LOCKPORT, NY 14094-5338
(716) 433-8711
(716) 433-8705
Mailing address
690 DAVISON RD, LOCKPORT, NY 14094-5338
(716) 433-8711
(716) 433-8705

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005077
NY
213ES0131X
Foot Surgery Podiatrist
N005077
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01578734
NY
Enumeration date
08/12/2005
Last updated
10/30/2007
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