Hanson, Matthew B.

Hanson, Matthew B. is an individual health care provider with primary practice located at 450 Clarkson Ave Suite J, Brooklyn NY 11203-2056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Hanson, Matthew B. can be contacted via phone (718) 270-4701.

Contact Information

Primary practice address
450 Clarkson Ave Suite J Brooklyn NY 11203-2056
Fax: (718) 270-3924
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 193446-1 New York

Profile Details

NPI number 1982689014
LBN Legal business name Hanson, Matthew B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jul 8th, 2007 - about 17 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 1982689014 NPPES
New York MEDICAID 01573399

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