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Individual

DR. HANNAH DODGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
200 BROAD ST, SCHUYLERVILLE, NY 12871-1024
(518) 695-3668
Mailing address
200 BROAD ST, SCHUYLERVILLE, NY 12871-1024
(518) 695-3668

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
310766
NY
390200000X
Student in an Organized Health Care Education/Training Program
OT018506
PA

Other

Enumeration date
06/04/2018
Last updated
08/05/2021
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