Provider Demographics
NPI:1083711873
Name:HAHN, AMY B (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:B
Last Name:HAHN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:26 TRADITIONAL LN
Mailing Address - Street 2:
Mailing Address - City:LOUDONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12211-1943
Mailing Address - Country:US
Mailing Address - Phone:518-438-8167
Mailing Address - Fax:518-262-6274
Practice Address - Street 1:26 TRADITIONAL LN
Practice Address - Street 2:
Practice Address - City:LOUDONVILLE
Practice Address - State:NY
Practice Address - Zip Code:12211-1943
Practice Address - Country:US
Practice Address - Phone:518-438-8167
Practice Address - Fax:518-262-6274
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYHAHNA1246QL0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QL0901XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory Management, Diplomate