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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MILES DOUGLAS HANSEN JR., ATC

Active Sole Proprietor

MR. MILES DOUGLAS HANSEN JR., ATC is a Athletic Trainer healthcare provider located in POUGHKEEPSIE, New York. NPI 1104414754 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · POUGHKEEPSIE, NY

Registration Details

NPI Number
1104414754
Provider Type
Individual
Gender
Male
NPI Issued
Jan 8, 2021 (5.6355979992006 yrs)
Last Updated
Jan 8, 2021
License
002176 (NY)
Sole Proprietor
Yes

Practice Information

Address
10 DALEY RD
POUGHKEEPSIE, NY, 126033225
Browse NY providers · Browse ZIP 12603
Phone
8455462286
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in POUGHKEEPSIE, NY

Name Credential NPI
MRS. TRISHA DONNELLY ATC 1619920139
MR. KEITH M DUARTE A.T.,C. 1144265943
MRS. ERIN CONNORS JOHNSON MS, ATC 1841227410
JENNIFER CHU ATC 1053331132
MRS. KAREN JACOBS MS, ATC, CSCS 1891885117
MR. JEFFREY JOHN CARTER ATC, CSCS 1346389509
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.