Hanly, Andrew J

Hanly, Andrew J is an individual health care provider with primary practice located at 16250 Nw 59Th Ave Suite 201, Miami Lakes FL 33014-7542. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Hanly, Andrew J can be contacted via phone (305) 825-4422.

Contact Information

Primary practice address
16250 Nw 59Th Ave Suite 201 Miami Lakes FL 33014-7542
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME70688 Florida
Other Service Providers / Specialist 174400000X ME70688 Florida

Profile Details

NPI number 1992776314
LBN Legal business name Hanly, Andrew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Mar 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992776314 NPPES
Florida MEDICAID 030682700

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