Provider Demographics
NPI:1720161938
Name:HANNA, SONIA G (DDS)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:G
Last Name:HANNA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 ROUTE 59
Mailing Address - Street 2:DENTAL CARE OF ROCKLAND
Mailing Address - City:C NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-2732
Mailing Address - Country:US
Mailing Address - Phone:845-353-1880
Mailing Address - Fax:845-727-1020
Practice Address - Street 1:372 ROUTE 59
Practice Address - Street 2:DENTAL CARE OF ROCKLAND
Practice Address - City:C NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-2732
Practice Address - Country:US
Practice Address - Phone:845-353-1880
Practice Address - Fax:845-727-1020
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038270122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1417053778Medicare UPIN