Individual
HANY ANTOUN FATTOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
521 EAST AVE, LOCKPORT, NY 14094-3201
(716) 514-5643
Mailing address
534 MAIN ST, STE 14, MEDINA, NY 14103-1436
(585) 798-3992
(585) 798-3865
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
197334
NY
207L00000X
Anesthesiology Physician
ME147673
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01806133
—
NY
Enumeration date
03/08/2006
Last updated
02/05/2021
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