Individual provider · Type 1 NPI

Craig M. Hanifin, PA

Surgical Physician Assistant · Syracuse, NY

NPI number 1881661221 Active

Practice location

736 Irving Ave
Syracuse, NY 13210-1687

Mailing address

PO Box 2001
East Syracuse, NY 13057-4501

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X010093 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1881661221

Craig M. Hanifin, PA's National Provider Identifier is 1881661221, issued on Mar 3, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Syracuse, NY. The record was last updated on Jan 22, 2010.