William Paul Hannan, MD | |
750 E Adams St, Syracuse, NY 13210-2342 | |
(315) 464-5450 | |
(315) 464-5853 |
Full Name | William Paul Hannan |
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Gender | Male |
Speciality | Pediatrics - Pediatric Rheumatology |
Location | 750 E Adams St, Syracuse, 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 |
---|---|---|---|
1265450498 | NPI | - | NPPES |
00903282 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 159129 (New York) | Secondary |
2080P0216X | Pediatrics - Pediatric Rheumatology | 159129 (New York) | Primary |
Entity Name | Pediatric Service Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770539066 PECOS PAC ID: 9931007200 Enrollment ID: O20031223000483 |
Mailing Address | Practice Location Address |
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William Paul Hannan, MD 750 E Adams St, Syracuse, NY 13210-2342 Ph: (315) 464-5450 | William Paul Hannan, MD 750 E Adams St, Syracuse, NY 13210-2342 Ph: (315) 464-5450 |
Ms. Bonnie Lee Marr I, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave Ste 9100, Syracuse, NY 13210 Phone: 315-470-7379 Fax: 315-470-2923 | |
Dr. David William Hansen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 Phone: 315-464-5726 Fax: 315-464-2510 | |
Dr. Audrey Victoria Vandewall, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-408-5854 | |
Shauna Thariath, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030 | |
Dr. Aisha Sultana Baig, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 East Adam St, Syracuse, NY 13210 Phone: 315-464-6323 Fax: 315-464-6322 | |
Megan A Pinnamaneni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5420 | |
Steven David Blatt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030 |