Doctor Name: | ERICA K HAHN |
NPI Number: | 1033353685 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | 382059 |
Business Practice Address: | 3611 21st St Long Island City, NY - 111064705 |
Business Phone Number: | 7184827772 |
Business Fax Number: | 7184829648 |
Mailing Address: | 60 Madison Ave, 5th Floor NEW YORK |
State: | NY |
Postal Code: | 100101600 |
Phone Number: | 2125452400 |
Fax Number: | 6463120481 |
NPI Enumeration Date: | 04/27/2009 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 382059 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |