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NPI Code Detail

MEDICARE: ENAS E HANNA DO

MEDICARE:   ENAS E HANNA  DO
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
1207V00000XObstetrics & Gynecology Physician240350NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2240350OTHERNYLIC

General Provider Information

NPI Number : 1548329493
Entity Type Code : Individual
Provider Name (Legal Business Name) : ENAS E HANNA DO
Provider Business Mailing Address
First Line : 55 WATER ST
Second Line : 2ND FLOOR CRED DEPT
City : NEW YORK
State : NY
Zip : 10041-0004
Country : US
Telephone Number : 646-680-2888
Fax Number : 516-542-5556
Provider Business Practice Location Address
First Line : 101 PENNSYLVANIA AVENUE
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-2428
Country : US
Telephone Number : 718-240-2000
Fax Number : 718-240-2260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2006
Last Update Date : 04/17/2023

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Directions to “ ENAS E HANNA DO” Practice Location

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