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Keith T. Hanson, LMT

Specialist in West Hempstead, NY. Individual provider (NPI-1).

NPI number1104997204
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1104997204
Entity type
Individual (NPI-1)
Name
Mr. Keith T. Hanson
Credential
LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 11, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist011843NYYes

Practice location

594 Pinebrook Ave
West Hempstead, NY 11552-4225

Phone 516-678-2612

Mailing address

594 Pinebrook Ave
West Hempstead, NY 11552-4225

Phone 516-678-2612

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