Individual provider · Type 1 NPI

Elyse Hannan, PA

Surgical Physician Assistant · New Windsor, NY

NPI number 1386011385 Active

Practice location

219 Blooming Grove Tpke
New Windsor, NY 12553

Mailing address

155 Crystal Run Rd
Middletown, NY 10941-4057

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X019059 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1386011385

Elyse Hannan, PA's National Provider Identifier is 1386011385, issued on Aug 25, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Windsor, NY. The record was last updated on Sep 15, 2020.