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Individual

DEIDRE HANBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
145 W MONTAUK HWY, HAMPTON BAYS, NY 11946-4012
(631) 728-4700
Mailing address
21A WARDS PATH, HAMPTON BAYS, NY 11946-4500
(631) 871-3401

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311310
NY

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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