Provider Demographics
NPI:1669542015
Name:HANNA, ADEL F (MD)
Entity type:Individual
Prefix:
First Name:ADEL
Middle Name:F
Last Name:HANNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:259 FIRST STREET
Mailing Address - Street 2:WINTHROP UNIVERSITY HOSPITAL
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501
Mailing Address - Country:US
Mailing Address - Phone:516-663-3300
Mailing Address - Fax:516-663-2136
Practice Address - Street 1:120 MINEOLA BLVD STE 320
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4077
Practice Address - Country:US
Practice Address - Phone:516-663-3300
Practice Address - Fax:516-663-8707
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2021-07-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY173903208G00000X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)