Provider Demographics
NPI:1588097208
Name:HANNA, AFAF B (DDS)
Entity type:Individual
Prefix:DR
First Name:AFAF
Middle Name:B
Last Name:HANNA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 MILDRED PL
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-1314
Mailing Address - Country:US
Mailing Address - Phone:201-967-5958
Mailing Address - Fax:
Practice Address - Street 1:7 DEY ST
Practice Address - Street 2:SUITE 700
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-3201
Practice Address - Country:US
Practice Address - Phone:212-619-5121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036290122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist