Individual
MICHAEL HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
294 W 92ND ST. APT 1C, NEW YORK, NY 10025-1002
(845) 519-7661
Mailing address
17 DRIFTWOOD LANE, COLTS NECK, NJ 07722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
729279
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
4704380360
MI
Other
Enumeration date
04/13/2019
Last updated
11/20/2024
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