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NPI Code Detail

MEDICARE: MR. AMIR HANNA PT

MEDICARE:  MR. AMIR  HANNA  PT
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
1225100000XPhysical Therapist017976NY

General Provider Information

NPI Number : 1013058338
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AMIR HANNA PT
Provider Business Mailing Address
First Line : 387 GARDINERS AVE
Second Line :
City : LEVITTOWN
State : NY
Zip : 11756-3701
Country : US
Telephone Number : 516-735-2180
Fax Number :
Provider Business Practice Location Address
First Line : 6940 108TH ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-3851
Country : US
Telephone Number : 718-544-5730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 06/25/2008

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Directions to “ MR. AMIR HANNA PT” Practice Location

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