# HANA GASTROENTEROLOGY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104139070
- **Authorized official:** HYUN GEUN JAE M.D., (PRESIDENT)
- **Authorized official phone:** (718) 321-3210

## Contact information

- **Practice address:** 15301 NORTHERN BLVD, 2D, FLUSHING, NY 11354-5035
- **Practice address phone:** (718) 321-3210
- **Practice address fax:** (212) 685-4073
- **Mailing address:** 15301 NORTHERN BLVD, 2D, FLUSHING, NY 11354-5035
- **Mailing address phone:** (718) 321-3210
- **Mailing address fax:** (212) 685-4073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 241219 | NY | Yes |

## Other

- **Enumeration date:** 07/21/2010
- **Last updated:** 11/02/2010