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NPI Code Detail

MEDICARE: SHIRLEY HANNA M.D.

MEDICARE: SHIRLEY HANNA M.D.
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
12085R0202XDiagnostic Radiology Physician60 264122NY

General Provider Information

NPI Number : 1477791598
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY HANNA M.D.
Provider Business Mailing Address
First Line : 475 SEAVIEW AVE
Second Line : STATEN ISLAND UNIVERSITY HOSPITAL
City : STATEN ISLAND
State : NY
Zip : 10305-3436
Country : US
Telephone Number : 718-226-6575
Fax Number : 718-226-1450
Provider Business Practice Location Address
First Line : 475 SEAVIEW AVE
Second Line : STATEN ISLAND UNIVERSITY HOSPITAL
City : STATEN ISLAND
State : NY
Zip : 10305-3436
Country : US
Telephone Number : 718-226-6575
Fax Number : 718-226-1450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2009
Last Update Date : 02/26/2014

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