Provider Demographics
NPI:1598783797
Name:HANAU, STUART (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:
Last Name:HANAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 604
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-275-5982
Mailing Address - Fax:585-756-0169
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:BOX 604
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-5982
Practice Address - Fax:585-756-0169
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY151138207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000916923002OtherBS WNY/HEALTHNOW
NYP010151138OtherBLUE CHOICE
NY0077966OtherGHI
NYG0189393590OtherBLUE CHOICE GROUP
NYMDF917OtherPREFERRED CARE
00026234101OtherUNIVERA
NY00957084Medicaid
NY5060353OtherAETNA
NYCC0135OtherRAILROAD MEDICARE GROUP#
NY00372225Medicaid
NY050080369OtherRAILROAD MEDICARE
NY0077966OtherGHI
NYB72450Medicare UPIN