Individual
DR. MARK EDWARD HANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
58 GLEN RIDGE RD, RED HOOK, NY 12571-1868
(845) 698-0432
Mailing address
58 GLEN RIDGE RD, RED HOOK, NY 12571-1868
(845) 698-0432
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004841
NY
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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