Provider Demographics
NPI:1114812690
Name:PH RETINA OPHTHALMOLOGY CARE, PLLC
Entity type:Organization
Organization Name:PH RETINA OPHTHALMOLOGY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:845-335-7234
Mailing Address - Street 1:25 SMITH ST STE 414
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2973
Mailing Address - Country:US
Mailing Address - Phone:845-335-7234
Mailing Address - Fax:845-335-7237
Practice Address - Street 1:25 SMITH ST STE 414
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2973
Practice Address - Country:US
Practice Address - Phone:845-335-7234
Practice Address - Fax:845-335-7237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty