MEDICARE: MARIA CHRISTINA HANAKIS PHD

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	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1255841201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA CHRISTINA HANAKIS PHD

Provider Business Mailing Address
First Line	:	2212 3RD AVE FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-3535
Country	:	US
Telephone Number	:	212-988-9500
Fax Number	:	888-493-6324

Provider Business Practice Location Address
First Line	:	2212 3RD AVE FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-3535
Country	:	US
Telephone Number	:	212-988-9500
Fax Number	:	888-493-6324

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

Provider Enumeration Date	:	10/04/2017
Last Update Date	:	10/04/2017

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