Provider Demographics
NPI:1184885451
Name:HANNA, TODD C (MD, DDS)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:C
Last Name:HANNA
Suffix:
Gender:M
Credentials:MD, DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:521 PARK AVE STE C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8140
Mailing Address - Country:US
Mailing Address - Phone:212-779-2787
Mailing Address - Fax:212-779-3875
Practice Address - Street 1:521 PARK AVE STE C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8140
Practice Address - Country:US
Practice Address - Phone:212-779-2787
Practice Address - Fax:212-779-3875
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2803732086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology