MICHAEL ROBERT HANSON

MINEOLA, NY
NPI1134358443
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  23013205)
Enumeration Date2009-07-08
Last Update Date2009-07-08
Business Address
-- MICHAEL ROBERT HANSON RPA-C
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-8312
Mailing Address
-- MICHAEL ROBERT HANSON RPA-C
700 HICKSVILLE RD SUITE 204
BETHPAGE, NY 11714-3471
Phone number: 516-576-6106