Provider Demographics
NPI:1538633359
Name:DANIEL HANONO MD PC
Entity type:Organization
Organization Name:DANIEL HANONO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HANONO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-952-4211
Mailing Address - Street 1:145 E 32ND ST STE 303
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6055
Mailing Address - Country:US
Mailing Address - Phone:646-952-4211
Mailing Address - Fax:646-952-4208
Practice Address - Street 1:145 E 32ND ST STE 303
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6055
Practice Address - Country:US
Practice Address - Phone:646-952-4211
Practice Address - Fax:646-952-4208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY105622OtherGROUP LICENSE