Healthcare Provider Details

I. General information

NPI: 1932017498
Provider Name (Legal Business Name): HANNAH CLAFFEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 BROAD RD STE 3M
SYRACUSE NY
13215-2265
US

IV. Provider business mailing address

9494 GLENGARRIFF DR
BREWERTON NY
13029-9529
US

V. Phone/Fax

Practice location:
  • Phone: 315-492-3400
  • Fax: 315-464-7106
Mailing address:
  • Phone: 315-283-7396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number360810
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: