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Individual

HALEY HYE SOO HAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
480 FOREST AVE, LOCUST VALLEY, NY 11560-2151
(516) 759-5406
Mailing address
6 WYOMING ST, COMMACK, NY 11725-4502

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
353854
NY

Other

Enumeration date
11/19/2025
Last updated
11/19/2025
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