Healthcare Provider Details

I. General information

NPI: 1043484512
Provider Name (Legal Business Name): HANA CHIROPRACTIC AND ACUPUNCTURE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2008
Last Update Date: 07/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

696 R. WHITE PLAINS ROAD
SCARSDALE NY
10583
US

IV. Provider business mailing address

696R WHITE PLAINS ROAD
SCARSDALE NY
10583
US

V. Phone/Fax

Practice location:
  • Phone: 914-722-0287
  • Fax: 201-569-0022
Mailing address:
  • Phone: 914-722-0287
  • Fax: 201-569-0022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES J HAHN
Title or Position: PRESIDENT
Credential: D.C., M.S., LAC
Phone: 914-722-0287