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SAM HANNA
OTHER

SAM HANNA is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1316971229. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 9830292762. The primary specialty is PHYSICAL THERAPY. The organization is PRO FORM PHYSICAL THERAPY PC. The address is 8637 102ND RD, , OZONE PARK, NY, 114162134. The zip code is 114162134.


Nation Provider ID1316971229
PAC ID by PECOS9830292762
Professional Enrollment IDI20070314000533
NameSAM HANNA
Medical School NameOTHER
Graduation Year1997
Primary SpecialtyPHYSICAL THERAPY
All secondary specialties
Organization NamePRO FORM PHYSICAL THERAPY PC
Group Practice PAC ID648404137
Number of Group Practice members1
Address8637 102ND RD, , OZONE PARK, NY, 114162134
Hospital affiliation LBN
Graduation Year1997
Contact Number7186180052
Email Address[Show_Email_ID]
Phone Number[Show_Phone]
Website [Show_Website]