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Theodora Hanson
NPI 1992941371 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1374 Bronx River Ave
Apt 3 E
Bronx, NY 10472 - Phone
- (917) 583-9719
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York