Individual
HANSEN A YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 HARRISON ST, STE 130, SYRACUSE, NY 13202-3064
(315) 464-4472
Mailing address
550 HARRISON ST, STE 130, SYRACUSE, NY 13202-3064
(315) 464-4472
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
118107
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
118107
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00489405
—
NY
Enumeration date
08/16/2005
Last updated
04/06/2009
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