Provider Demographics
NPI:1487944559
Name:SCOTT H HANAN MD PC
Entity type:Organization
Organization Name:SCOTT H HANAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:H
Authorized Official - Last Name:HANAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-614-6770
Mailing Address - Street 1:61 IRVING PL
Mailing Address - Street 2:SUITE LL-B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2324
Mailing Address - Country:US
Mailing Address - Phone:212-614-6770
Mailing Address - Fax:212-598-9181
Practice Address - Street 1:61 IRVING PL
Practice Address - Street 2:SUITE LL-B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2324
Practice Address - Country:US
Practice Address - Phone:212-614-6770
Practice Address - Fax:212-598-9181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199306208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty