| Doctor Name: | MARY C HANEY |
| NPI Number: | 1083670293 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 334029 |
| Business Practice Address: | 2931 Military Rd Niagara Falls, NY - 143041251 |
| Business Phone Number: | 7162984869 |
| Business Fax Number: | |
| Mailing Address: | 908 Niagara Falls Blvd, Suite 208 NORTH TONAWANDA |
| State: | NY |
| Postal Code: | 141202019 |
| Phone Number: | 7166923302 |
| Fax Number: | 7166924342 |
| NPI Enumeration Date: | 04/25/2006 |
| NPI Last Update Date: | 11/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 334029 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |