National Provider Identifier
David Thomas Hannan, MD
David Thomas Hannan, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Marion, NY and a listed phone number of (315) 926-7733.
Profile Overview
- NPI
- 1184640138
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- July 14, 2006
- Last Updated
- September 14, 2016
Practice Location
- 3669 Countryside Ln
- Marion, NY 14505-9781
Phone: (315) 926-7733
Mailing Address
- 3669 Countryside Ln
- PO Box 110
- Marion, NY 14505-9781
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1184640138
- Entity Type
- Individual
- Last Name
- Hannan
- First Name
- David
- Middle Name
- Thomas
- Credential
- MD
- Mailing Street Address
- 3669 Countryside Ln
- Mailing Address Line 2
- PO Box 110
- Mailing City
- Marion
- Mailing State
- NY
- Mailing ZIP Code
- 14505-9781
- Mailing Country
- US
- Mailing Phone
- (315) 926-7733
- Mailing Fax
- (315) 926-0731
- Practice Street Address
- 3669 Countryside Ln
- Practice City
- Marion
- Practice State
- NY
- Practice ZIP Code
- 14505-9781
- Practice Country
- US
- Practice Phone
- (315) 926-7733
- Practice Fax
- (315) 926-0731
- Enumeration Date
- July 14, 2006
- Last Updated
- September 14, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 010156845 (NY, Blue Choice), 01389073 (NY), MD109B (NY, Preferred Care)