MEDICARE: STEPHANIE MARIA HANCHUK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	326669	NY

General Provider Information

NPI Number	:	1255996930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MARIA HANCHUK MD

Provider Business Mailing Address
First Line	:	1 RESEARCH RD
Second Line	:
City	:	RIDGE
State	:	NY
Zip	:	11961-2701
Country	:	US
Telephone Number	:	631-751-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 E 86TH ST OFC 4C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-0517
Country	:	US
Telephone Number	:	212-861-6660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2019
Last Update Date	:	09/05/2024

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