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

DR. WILHELM GUSTAV HANSEN, M. D.

Active Sole Proprietor

DR. WILHELM GUSTAV HANSEN, M. D. is a Geriatric Medicine healthcare provider located in ITHACA, New York. NPI 1154586295 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · ITHACA, NY

Registration Details

NPI Number
1154586295
Provider Type
Individual
Gender
Male
NPI Issued
Jul 28, 2008 (18.075207920099 yrs)
Last Updated
Jul 28, 2008
License
90793 (NY)
Sole Proprietor
Yes

Practice Information

Address
1013 HECTOR ST
ITHACA, NY, 148502037
Browse NY providers · Browse ZIP 14850
Phone
6072732643
Primary Specialty
Geriatric Medicine
207QG0300X
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.