Individual
DR. ERIC HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 GLENRICH DR, SAINT JAMES, NY 11780-1610
(631) 242-5959
(631) 257-5417
Mailing address
1 GLENRICH DR, SAINT JAMES, NY 11780-1610
(631) 242-5959
(631) 257-5417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049472
NY
Other
Enumeration date
01/09/2009
Last updated
07/21/2016
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