Individual
ALLAN JAMES HANABURGH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
92 WEST AVE, BROCKPORT, NY 14420-1306
(585) 637-0790
(585) 637-3572
Mailing address
92 WEST AVE, BROCKPORT, NY 14420-1306
(585) 637-0790
(585) 637-3572
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021706
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107786FT
PREFERRED CARE
NY
Enumeration date
02/20/2006
Last updated
07/08/2007
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