National Provider Identifier

Eric David Hansen, BA

Eric David Hansen, BA is listed in the NPPES registry with a primary specialty of Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1841532231Buffalo, NYHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician

Profile Overview

NPI
1841532231
Provider Type
Individual
Primary Specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Enumeration Date
March 23, 2013
Last Updated
January 14, 2021

Practice Location

  • Elm And Carlton Streets
  • Buffalo, NY 14263-4494

Phone: (716) 845-2300

Mailing Address

  • 3708 N Hermitage Ave
  • Apt 1
  • Chicago, IL 60613-3509

Specialties

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician (2081H0002X)
  • Internal Medicine Physician (207R00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1841532231
Entity Type
Individual
Last Name
Hansen
First Name
Eric
Middle Name
David
Credential
BA
Mailing Street Address
3708 N Hermitage Ave
Mailing Address Line 2
Apt 1
Mailing City
Chicago
Mailing State
IL
Mailing ZIP Code
60613-3509
Mailing Country
US
Mailing Phone
(315) 576-0590
Practice Street Address
Elm And Carlton Streets
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263-4494
Practice Country
US
Practice Phone
(716) 845-2300
Enumeration Date
March 23, 2013
Last Updated
January 14, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
January 14, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician (2081H0002X), Internal Medicine Physician (207R00000X), Student in an Organized Health Care Education/Training Program (390200000X)