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Cannon Greco Hiranaka, MD
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1982455945

Cannon Greco Hiranaka is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Cannon Greco Hiranaka practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Cannon Greco Hiranaka is 1982455945 and holds a License No. (New York).

The current practice location address for Cannon Greco Hiranaka is 101 Nicolls Rd # T11-040, Stony Brook, NY and can be reached out via phone at 631-444-2020.

Location: 101 Nicolls Rd # T11-040, Stony Brook, NY, 11794-8111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982455945
Provider Name
Cannon Greco Hiranaka
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 Nicolls Rd # T11-040, Stony Brook, NY, 11794-8111
Phone Number
631-444-2020
Fax Number
Provider Enumeration Date
03/28/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd # T11-040
City
Stony Brook
State
New York
Zip
11794-8111
Phone Number
631-444-2020
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd # T11-040
City
Stony Brook
State
New York
Zip
11794-8111
Phone Number
631-444-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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