Provider Demographics
NPI:1568183721
Name:HANNA, ABIGAIL SYLVIA
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:SYLVIA
Last Name:HANNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:587 BROADWAY APT D13
Mailing Address - Street 2:
Mailing Address - City:MENANDS
Mailing Address - State:NY
Mailing Address - Zip Code:12204-2843
Mailing Address - Country:US
Mailing Address - Phone:518-819-9495
Mailing Address - Fax:
Practice Address - Street 1:477 MADISON AVE FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5827
Practice Address - Country:US
Practice Address - Phone:332-282-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health