Individual
DR. EMAD S. HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
196 MERRICK RD, OCEANSIDE, NY 11572-1420
(516) 255-8400
(516) 255-4672
Mailing address
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING, OCEANSIDE, NY 11572-1551
(516) 255-1600
(516) 255-4672
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207421
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000059758
GHI HMO
NY
05
—
02192230
—
NY
01
—
0297461
CIGNA
NY
01
—
040426009429
FIDELIS
NY
01
—
1000025101
AFFINITY
NY
01
—
113565450
BEECH STREET
NY
01
—
207421
HIP
NY
01
—
2983913
AETNA HMO
NY
01
—
4C5143
HEALTHNET
NY
01
—
5023B1
BCBS
NY
01
—
5998029
GHI PPO
NY
01
—
7815287
AETNA PPO
NY
01
—
AA71616
MDNY
NY
01
—
P2521453
OXFORD
NY
Enumeration date
09/16/2005
Last updated
04/25/2012
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