James R. Hanna Dpm Pc | |
690 Davison Rd, Lockport, NY 14094-5338 | |
(716) 433-8711 | |
(716) 433-8705 |
Full Name | James R. Hanna Dpm Pc |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 690 Davison Rd, Lockport, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104827609 | NPI | - | NPPES |
01578734 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | N005077 (New York) | Primary |
213ES0131X | Podiatrist - Foot Surgery | (* (Not Available)) | Secondary |
Provider Name | James R Hanna |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1801898572 PECOS PAC ID: 5890766133 Enrollment ID: I20040805000928 |
Mailing Address | Practice Location Address |
---|---|
James R. Hanna Dpm Pc 690 Davison Rd, Lockport, NY 14094-5338 Ph: (716) 433-8711 | James R. Hanna Dpm Pc 690 Davison Rd, Lockport, NY 14094-5338 Ph: (716) 433-8711 |
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James Robert Hanna, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 690 Davison Rd, Lockport, NY 14094 Phone: 716-433-8711 Fax: 716-433-8705 | |
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