Healthcare Provider Details

I. General information

NPI: 1699665976
Provider Name (Legal Business Name): HAHN HEALTH CARE FAMILY NP IN FAMILY HEALTH P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2687 SCHUYLER RD
MARIETTA NY
13110-4201
US

IV. Provider business mailing address

2687 SCHUYLER RD
MARIETTA NY
13110-4201
US

V. Phone/Fax

Practice location:
  • Phone: 315-857-5921
  • Fax:
Mailing address:
  • Phone: 315-857-5921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID HAHN
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 315-857-5921