Edward Jospeh Hannan, MD | |
2231 Burdett Ave, Suite 130, Troy, NY 12180-2447 | |
(518) 272-0171 | |
(517) 271-6580 |
Full Name | Edward Jospeh Hannan |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 2231 Burdett Ave, Troy, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255341152 | NPI | - | NPPES |
00890042 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 160806 (New York) | Primary |
Entity Name | Champlain Valley Physicians Hospital Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124189782 PECOS PAC ID: 2769396878 Enrollment ID: O20031121000623 |
Mailing Address | Practice Location Address |
---|---|
Edward Jospeh Hannan, MD 2231 Burdett Ave, Suite 130, Troy, NY 12180-2447 Ph: (518) 272-0171 | Edward Jospeh Hannan, MD 2231 Burdett Ave, Suite 130, Troy, NY 12180-2447 Ph: (518) 272-0171 |
Jennifer Marie Brady, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2231 Burdett Ave Ste 230, Troy, NY 12180 Phone: 518-271-5527 Fax: 518-833-7909 | |
Smadar Ronen Bogardus, MD Surgery Medicare: Medicare Enrolled Practice Location: 2231 Burdett Ave Ste 230, Troy, NY 12180 Phone: 518-271-5527 | |
Dr. Gregory R. Field, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2231 Burdett Ave, Troy, NY 12180 Phone: 518-271-5527 | |
Yusuf Nuruddin Silk, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2231 Burdett Ave, Suite 130, Troy, NY 12180 Phone: 518-272-0171 Fax: 518-271-6580 | |
Dr. Kia Ann Kim, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2215 Burdett Ave, Troy, NY 12180 Phone: 518-271-3300 | |
Matthew Dennis Mcdonald, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 720 Hoosick Road, Bariatric And Metabolic Care, Troy, NY 12180 Phone: 518-687-9779 |