MEDICARE: SCOTT H HANAN MD PC

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	208600000X	Surgery Physician	199306	NY

General Provider Information

NPI Number	:	1487944559
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT H HANAN MD PC

Provider Business Mailing Address
First Line	:	61 IRVING PL
Second Line	:	SUITE LL-B
City	:	NEW YORK
State	:	NY
Zip	:	10003-2324
Country	:	US
Telephone Number	:	212-614-6770
Fax Number	:	212-598-9181

Provider Business Practice Location Address
First Line	:	61 IRVING PL
Second Line	:	SUITE LL-B
City	:	NEW YORK
State	:	NY
Zip	:	10003-2324
Country	:	US
Telephone Number	:	212-614-6770
Fax Number	:	212-598-9181

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SCOTT H HANAN
Credential	:	MD
Telephone Number	:	212-614-6770

Provider Enumeration Date	:	04/11/2011
Last Update Date	:	06/16/2011

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