National Provider Identifier

Allan James Hanaburgh, PT

Allan James Hanaburgh, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Brockport, NY and a listed phone number of (585) 637-0790.

NPI 1912972480Brockport, NYPhysical Therapist

Profile Overview

NPI
1912972480
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
February 20, 2006
Last Updated
July 08, 2007

Practice Location

  • 92 West Ave
  • Brockport, NY 14420-1306

Phone: (585) 637-0790

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1912972480
Entity Type
Individual
Last Name
Hanaburgh
First Name
Allan
Middle Name
James
Credential
PT
Mailing Street Address
92 West Ave
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1306
Mailing Country
US
Mailing Phone
(585) 637-0790
Mailing Fax
(585) 637-3572
Practice Street Address
92 West Ave
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1306
Practice Country
US
Practice Phone
(585) 637-0790
Practice Fax
(585) 637-3572
Enumeration Date
February 20, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)
Other Identifiers
107786FT (NY, Preferred Care)