Provider Demographics
NPI:1538535232
Name:NAVARRO, HANNAH (PA)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HANDLEY STREET
Mailing Address - Street 2:LETCHWORTH FAMILY MEDICINE
Mailing Address - City:PERRY
Mailing Address - State:NY
Mailing Address - Zip Code:14530-1342
Mailing Address - Country:US
Mailing Address - Phone:585-237-3227
Mailing Address - Fax:585-237-6075
Practice Address - Street 1:3 HANDLEY STREET
Practice Address - Street 2:LETCHWORTH FAMILY MEDICINE
Practice Address - City:PERRY
Practice Address - State:NY
Practice Address - Zip Code:14530-1342
Practice Address - Country:US
Practice Address - Phone:585-237-3227
Practice Address - Fax:585-237-6075
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18885363AM0700X
NY018885-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical