Keith T. Hanson LMT

NPI 1104997204 - Specialist - 174400000X

NPI Details
NPI 1104997204
Gender Male
Enumeration Date 11/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
594 PINEBROOK AVE
WEST HEMPSTEAD NY, 11552-4225, US
Phone (516) 678-2612
Fax
Business Location
594 PINEBROOK AVE
WEST HEMPSTEAD NY, 11552-4225, US
Phone (516) 678-2612
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 011843
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According to our database, Mr. Keith T. Hanson LMT NPI is 1104997204, taxonomy code is 174400000X and license number is 011843, license state is located at New York. Keith T. Hanson LMT physically located at 594 Pinebrook Ave, West Hempstead NY, 11552-4225. NPI Number Keith T. Hanson LMT has the Individual type.

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1104997204 NPI number is provided on an as is basis without warranty of any kind. 1104997204 is maintained by the National Plan & Provider Enumeration System. The contents of Keith T. Hanson LMT are for informational purposes only.