Individual
HANNA SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
566 SUFFOLK AVE, BRENTWOOD, NY 11717-4210
(631) 813-2008
Mailing address
566 SUFFOLK AVE, BRENTWOOD, NY 11717-4210
(631) 813-2008
(631) 813-2010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
053055-1
NY
Other
Enumeration date
11/28/2007
Last updated
01/14/2026
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