Most Relevant Information
Provider Data
| NPI Number: | 1003596651 |
| Provider Name: | IVANA HANNA O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | TUV009854-01 |
Most Important Dates
| Enumeration Date: | 07/19/2023 |
| Last Updated: | 07/19/2023 |
Provider Practice Location
242 MASON AVE STE 5
STATEN ISLAND
NY
103053408
Practice Location Phone/Fax
| Phone: | 7182266283 |
| Fax: |
Provider Mailing Location
28 TRINA LN
STATEN ISLAND
NY
103091532
Provider Mailing Phone/Fax
| Phone: | 3478841318 |
| Fax: |