Ivana Hanna, OD | |
242 Mason Ave Ste 5, Staten Island, NY 10305-3408 | |
(718) 226-6283 | |
Not Available |
Full Name | Ivana Hanna |
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Gender | Female |
Speciality | Optometrist |
Location | 242 Mason Ave Ste 5, Staten Island, 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 |
---|---|---|---|
1003596651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV009854-01 (New York) | Primary |
Provider Name | North Shore - Lij Medical Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Ivana Hanna, OD 28 Trina Ln, Staten Island, NY 10309-1532 Ph: (347) 884-1318 | Ivana Hanna, OD 242 Mason Ave Ste 5, Staten Island, NY 10305-3408 Ph: (718) 226-6283 |
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