| David Thomas Hannan, MD | |
|
3669 Countryside Ln, Marion, NY 14505-9781 | |
| (315) 926-7733 | |
| (315) 926-0731 |
| Full Name | David Thomas Hannan |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3669 Countryside Ln, Marion, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184640138 | NPI | - | NPPES |
| 010156845 | Other | NY | BLUE CHOICE |
| 01389073 | Medicaid | NY | |
| MD109B | Other | NY | PREFERRED CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 156845 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David Thomas Hannan, MD 3669 Countryside Ln, Po Box 110, Marion, NY 14505-9781 Ph: (315) 926-7733 | David Thomas Hannan, MD 3669 Countryside Ln, Marion, NY 14505-9781 Ph: (315) 926-7733 |
Mrs. Laura Ann Moore, RPA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3669 Countryside Ln, Marion, NY 14505 Phone: 315-926-7733 Fax: 315-926-0731 | |
Theresa Martin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3669 Countryside Ln, Marion, NY 14505 Phone: 315-926-7733 Fax: 315-926-0731 |