Provider Demographics
NPI:1346859279
Name:PASTUF, HANNAH G (NP)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:G
Last Name:PASTUF
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7401 FARMSTEAD RD
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088-4715
Mailing Address - Country:US
Mailing Address - Phone:315-236-3581
Mailing Address - Fax:
Practice Address - Street 1:7401 FARMSTEAD RD
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13088-4715
Practice Address - Country:US
Practice Address - Phone:315-236-3581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY346253363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily