| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DEIDRE HANBACH | 1912784356 | 2023-09-11 |
Deidre Hanbach is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912784356. Registration indicates Deidre Hanbach is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Adult Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Adult Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Deidre Hanbach |
| Practice Office Address | 145 W MONTAUK HWY HAMPTON BAYS, NY US |
| Practice Office Telephone | 6317284700 |
| Mailing Address | 21A WARDS PATH HAMPTON BAYS, NY 119464500 US |
| Business Telephone | 6318713401 |
| Code | Practice | License No State |
|---|---|---|
| 363LA2200X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Adult Health All Other Specialties & Provider Types Nurse Practitioner Adult Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 311310
NY |