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1912992785

NPI Code Detail

MEDICARE: DR. EMAD S. HANNA M.D.

MEDICARE: DR. EMAD S. HANNA M.D.

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	207Q00000X	Family Medicine Physician	207421	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0297461	OTHER	NY	CIGNA
3	5023B1	OTHER	NY	BCBS
4	113565450	OTHER	NY	BEECH STREET
5	113565450	OTHER	NY	PHCS
6	2983913	OTHER	NY	AETNA HMO
7	P2521453	OTHER	NY	OXFORD
8	000000059758	OTHER	NY	GHI HMO
9	113565450	OTHER	NY	MULTIPLAN
10	4C5143	OTHER	NY	HEALTHNET
11	207421	OTHER	NY	HIP
12	5998029	OTHER	NY	GHI PPO
13	7815287	OTHER	NY	AETNA PPO
14	113565450	OTHER	NY	FIRST HEALTH
15	040426009429	OTHER	NY	FIDELIS
16	1000025101	OTHER	NY	AFFINITY
17	113565450	OTHER	NY	GREAT WEST
18	113565450	OTHER	NY	MAGNACARE
19	AA71616	OTHER	NY	MDNY

General Provider Information

NPI Number	:	1912992785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMAD S. HANNA M.D.

Provider Business Mailing Address
First Line	:	1 HEALTHY WAY
Second Line	:	ATTN: PHYSICIAN BILLING
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-1551
Country	:	US
Telephone Number	:	516-255-1600
Fax Number	:	516-255-4672

Provider Business Practice Location Address
First Line	:	196 MERRICK RD
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-1420
Country	:	US
Telephone Number	:	516-255-8400
Fax Number	:	516-255-4672

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

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	04/25/2012

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Directions to “ DR. EMAD S. HANNA M.D.” Practice Location

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