Most Relevant Information
Provider Data
| NPI Number: | 1003660614 |
| Provider Name: | TERRY HANNA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/11/2024 |
| Last Updated: | 04/11/2024 |
Provider Practice Location
1003 PARK ST
OGDENSBURG
NY
136693911
Practice Location Phone/Fax
| Phone: | 3157139090 |
| Fax: |
Provider Mailing Location
1003 PARK ST
OGDENSBURG
NY
136693911
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |