Hannah Southworth
Hannah Southworth is a Physician Assistant in Brooklyn, New York. Qualified in 2020, 6 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment.
- Years since qualifying
- 6
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
45 Hoyt St Apt 9KBrooklyn, NY 11201-7226
Phone: (603) 781-8263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X |
Record details
| NPI number | 1467086520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 27, 2020 |
| Last updated in NPPES | June 8, 2020 |
| Certification date | June 8, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | North Shore-Lij Medical Pc — 6350 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
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