Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 382059 | NY |
NPI | 1033353685 |
---|---|
Provider Name | Erica K Hahn |
First Address | New York, NY 10010-1600 |
Second Address | Long Island City, NY 11106-4705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2009 |
Last Update Date | 17/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00695941 | (05) | NY |
03166272 | (05) | NY |